Springfield Medical LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SPRINGFIELD MEDICAL LLC

Practice address

2547 Main St
Springfield, MA 01107-1900

Phone

(413) 273-7355

NPI assigned

Aug 23, 2023

Organization subpart

No

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

Authorized official

Name

Alexander Wu, PHARMDNPI 1083066682

Title

Owner

Phone

(413) 273-7355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 4

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

• Jeanette L. Christian

  • Psychiatric/Mental Health Nurse Practitioner
  • Springfield, MA
  • NPI 1730714015
  Medicare reassignment NPD
• Kelvin Karanja

  • Psychiatric/Mental Health Nurse Practitioner
  • Longmeadow, MA
  • NPI 1831855782
  Medicare reassignment NPD
• Damaris W Kongo, REGISTERED NURSE

  • Community Health Registered Nurse
  • Ludlow, MA
  • NPI 1376114009

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Alexander Wu, PHARMD

  • Pharmacist
  • Springfield, MA
  • NPI 1083066682
  NPD Authorized official

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1992589535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2547 MAIN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071900",
            "telephone_number": "413-273-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2547 MAIN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071900",
            "telephone_number": "413-273-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-273-7355",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Springfield Hospital LLC
• Springfield International Health Center
• Springfield International Health Center, PC
• Springfield Kids Dentist, LLC
• Springfield Medical Associates, Inc
• Springfield Neurology Associates, LLC
• Springfield Park View Hospital, LLC
• Springfield Pediatrics LLC
• Springfield Pharmacy LLC
• Springfield Pharmacy LLC

• Psychiatric/Mental Health Nurse Practitioner in Springfield, MA
• Providers in Springfield, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.