Mr Henry Warren Kort, MD | |
50 Wason Ave Fl 1, Springfield, MA 01107-1280 | |
(413) 794-5437 | |
(413) 794-7408 |
Full Name | Mr Henry Warren Kort |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 50 Wason Ave Fl 1, Springfield, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326001504 | NPI | - | NPPES |
166222301 | Medicaid | TX | |
1632490 | Medicaid | LA | |
0099AZ | Other | TX | MEDICARE GROUP # |
10013283 | Other | TX | AMERIGROUP PROVIDER # |
8K8792 | Other | TX | BCBS PROVIDER # |
200015490A | Medicaid | OK | |
094999202 | Other | TX | MEDICAID GROUP # |
3231HM | Other | TX | BCBS GROUP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | L8097 (Texas) | Secondary |
2080P0202X | Pediatrics - Pediatric Cardiology | 1016584 (Massachusetts) | Primary |
Entity Name | Pediapex Heart Center For Children Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376752402 PECOS PAC ID: 1052391562 Enrollment ID: O20040724000067 |
Mailing Address | Practice Location Address |
---|---|
Mr Henry Warren Kort, MD 280 Chestnut St Fl 2, Springfield, MA 01199-1001 Ph: (413) 794-5700 | Mr Henry Warren Kort, MD 50 Wason Ave Fl 1, Springfield, MA 01107-1280 Ph: (413) 794-5437 |
Adam Gregory Wychowski, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3640 Main St Ste 207, Springfield, MA 01107 Phone: 413-739-0669 Fax: 413-739-0621 | |
Regina Kruczynska, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 299 Carew St, Springfield, MA 01104 Phone: 413-734-6461 | |
Stephen A Lieberman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-794-5370 Fax: 413-794-9748 | |
Jeffrey Walbridge, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 759 Chestnut St, Springfield, MA 01199 Phone: 413-794-0000 | |
Judith E Blumhofer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 140 High Street, Springfield, MA 01199 Phone: 413-794-2515 Fax: 413-794-5673 | |
Danielle B. Gibbs, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 140 High St, Springfield, MA 01105 Phone: 413-794-2515 Fax: 413-794-5673 | |
Krista Turner Kitchen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-794-3233 |