Holyoke Medical Center, Inc.
Organization Active NPI Anesthesiology Physician · Holyoke, MA
NPI 1992923486 · NPPES record last updated Jun 25, 2020
Key facts
- NPI
- 1992923486
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 214S (MA)
- Legal business name
- HOLYOKE MEDICAL CENTER, INC.
- Practice address
- 575 Beech St
Holyoke, MA 01040-2223 - Phone
- (413) 534-2845
- Fax
- (413) 540-5053
- NPI assigned
- Apr 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Michael J. Koziol
- Title
- Chief Financial Officer
- Phone
- (413) 534-2567
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 5
Practitioners 238
-
Susan Anti, M.D.
-
Srinivasa Babu Gutta, M.D.
-
David Hanley, CRNA
-
Joann L. Nava, CRNA
-
Joel Nevejans, CRNA
-
Syed M. Khurram Owais, M.D.
-
Nathanael L Rosario, CRNA
-
Eva Sovago Tamas, MD
-
Leo I Stemp, MD
-
Endre Tamas, MD
-
Jennifer Wells, CRNA
-
Alexander Zeidel, MD
-
Christina Ly, DO, MPH
-
Megan McAdams, CRNA
-
Ashley Weiss, CRNA, DNP
-
Catherine O'Brien, CRNA
-
Aziz A. Ashirov, CRNA
-
Catherine J Durie, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051219000359 | MA | Part B Supplier - Clinic/Group Practice | 2163419383 |
Receives reassigned benefits from 49 practitioners 1 other NPI on this enrollment Practice locations: Holyoke, MA |
National Provider Directory
- Tax ID family
- Holyoke Medical Center Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | 214S | MA | Yes |
| Multi-Specialty Clinic/Center | 261QM1300X | 2145 | MA |
Addresses
Primary practice location
575 Beech St
Holyoke, MA 01040-2223
Mailing address
575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2845
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001647 | Medicaid | MA | |
| 1200798 | Medicaid | MA |
Other providers in Holyoke, MA
- Holyoke Medical Center, Inc.
- Holyoke Medical Center, Inc.
- Holyoke Medical Center, Inc.
- Holyoke Medical Center, Inc.
- Holyoke Medical Center, Inc.
- Holyoke Mental Health
- Holyoke MMTP, LLC
- Holyoke Operator LLC
- Holyoke Orthopedics, Inc.
- Holyoke Pediatric Associates, LLP
All providers in Holyoke, MA · Anesthesiology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.