John A Egelhofer, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

44983 Issued in MA

Practice address

300 Birnie Ave
Ste 102
Springfield, MA 01107-1107

Phone

(413) 734-4206

Fax

(413) 737-8882

NPI assigned

Aug 17, 2005

Last updated

Apr 16, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chestnut Medical Associates, Inc

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1679565543
  Authorized official Same address or phone
• Baystate Medical Center, Inc.

  dba Baystate Specialty Pharmacy

  • Community/Retail Pharmacy
  • Springfield, MA
  • NPI 1972936623
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1972595775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BIRNIE AVE",
            "address_2": "STE 102",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071107",
            "telephone_number": "413-734-4206",
            "fax_number": "413-737-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BIRNIE AVE",
            "address_2": "STE 102",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071107",
            "telephone_number": "413-734-4206",
            "fax_number": "413-737-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGELHOFER",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "44983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBS",
            "identifier": "Y02233",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2097869",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juliana Eells
• Efficiency, Care and Love Transport LLC
• Thomas H Egan, M.D.
• Timothy G Egan, M.D.
• Amanda Egbert
• Heidi Jane Ehrenreich
• David Ehrlich
• Jordan Eichelser, MD
• Sara Haline Eichstaedt, LICSW
• Ashkan Eighaei Sedeh, MD

• Internal Medicine Physician in Springfield, MA
• Providers in Springfield, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.