Berkshire Mobile Medicine, P.C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1520 Issued in MA

Legal business name

BERKSHIRE MOBILE MEDICINE, P.C.

Practice address

20 Williamstown Rd Ste 4
Lanesborough, MA 01237-9548

Phone

(413) 445-6800

Fax

(413) 707-4959

NPI assigned

Sep 10, 2012

Organization subpart

No

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

Authorized official

Name

Jeffrey J Kellogg, PANPI 1215925011

Title

President

Phone

(413) 445-6800

Specialties & licenses 2

Addresses

Other names 1

• Greylock Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey J Kellogg, PA, MBA

  • Medical Physician Assistant
  • Lanesborough, MA
  • NPI 1215925011
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1972853604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WILLIAMSTOWN RD STE 4",
            "city": "LANESBOROUGH",
            "state": "MA",
            "postal_code": "012379548",
            "telephone_number": "413-445-6800",
            "fax_number": "413-707-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WILLIAMSTOWN RD STE 4",
            "city": "LANESBOROUGH",
            "state": "MA",
            "postal_code": "012379548",
            "telephone_number": "413-445-6800",
            "fax_number": "413-707-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE MOBILE MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "KELLOGG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-445-6800",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "156843",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "1520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greylock Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jane Apkin, CCC-SLP
• CVS Pharmacy Inc.
• Taylor Drinkwater
• Makayla Marie Duda
• Cynthia Ann Haddad, RPH
• Mary C. Hynes-Drumm, CCC-SLP

• Medical Physician Assistant in Lanesborough, MA
• Providers in Lanesborough, MA by specialty
• Medical Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.