Ch Specialty Services Ma Pc | |
819 Worcester St Ste 1 Springfield MA 01151-1056 | |
(337) 991-9276 | |
Not Available |
Full Name | Ch Specialty Services Ma Pc |
---|---|
Speciality | Internal Medicine |
Location | 819 Worcester St Ste 1, Springfield, Massachusetts |
Authorized Official Name and Position | Nicole Howard (SR VP OF ADMINISTRATIVE SERVICES) |
Authorized Official Contact | 3379919276 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ch Specialty Services Ma Pc 5750 Johnston St Ste 205 Lafayette LA 70503-5334 Ph: (337) 991-9276 | Ch Specialty Services Ma Pc 819 Worcester St Ste 1 Springfield MA 01151-1056 Ph: (337) 991-9276 |
NPI Number | 1902510720 |
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Provider Enumeration Date | 01/06/2023 |
Last Update Date | 11/22/2023 |
Medicare PECOS PAC ID | 9931571437 |
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Medicare Enrollment ID | O20230209001851 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902510720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ann Maria L Elder |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1720064983 PECOS PAC ID: 4880583012 Enrollment ID: I20040512000261 |
Provider Name | Adnan M Dahdul |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104802362 PECOS PAC ID: 8628065299 Enrollment ID: I20040630000460 |
Provider Name | Denise Rainville |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376515650 PECOS PAC ID: 4385619147 Enrollment ID: I20040826000779 |
Provider Name | Gerald S Steinberg |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689649543 PECOS PAC ID: 5799674933 Enrollment ID: I20040831001148 |
Provider Name | Christina F Dinis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588648133 PECOS PAC ID: 3274594031 Enrollment ID: I20041025000615 |
Provider Name | Elizabeth J Woods |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710961354 PECOS PAC ID: 6002873130 Enrollment ID: I20041210000155 |
Provider Name | Rami A Ashkar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134158058 PECOS PAC ID: 6901855568 Enrollment ID: I20050120000834 |
Provider Name | Ann-marie E Sullivan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053397240 PECOS PAC ID: 0042262602 Enrollment ID: I20050211000606 |
Provider Name | Udaya B Jagadeesan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790743755 PECOS PAC ID: 3476508573 Enrollment ID: I20050322000030 |
Provider Name | Kenneth P Patterson |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1427150374 PECOS PAC ID: 8123066388 Enrollment ID: I20050419001221 |
Provider Name | Adekunle G Fajana |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396727806 PECOS PAC ID: 2365480498 Enrollment ID: I20050420000271 |
Provider Name | David B Peterson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619918752 PECOS PAC ID: 1355327578 Enrollment ID: I20050426001247 |
Provider Name | Maura J Squires |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619982337 PECOS PAC ID: 8123067865 Enrollment ID: I20050502000782 |
Provider Name | Valerie B Veridiano |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548211303 PECOS PAC ID: 9830139401 Enrollment ID: I20050504000029 |
Provider Name | Nancy M Pearlman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669446266 PECOS PAC ID: 2668412958 Enrollment ID: I20050505000871 |
Provider Name | Joseph J Viadero |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821087016 PECOS PAC ID: 6608811666 Enrollment ID: I20050621000943 |
Provider Name | Maryanne O Toole |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376623645 PECOS PAC ID: 2264477645 Enrollment ID: I20050627000280 |
Provider Name | Fahim A Kazi |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1427022672 PECOS PAC ID: 0143201608 Enrollment ID: I20050701000661 |
Provider Name | Tina M Tkaczek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154335354 PECOS PAC ID: 3476589995 Enrollment ID: I20050715000039 |
Provider Name | Laura M Morris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982769048 PECOS PAC ID: 1951336742 Enrollment ID: I20050929001165 |
Provider Name | Jay S Steingrub |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1962516716 PECOS PAC ID: 7517977580 Enrollment ID: I20060504000764 |
Provider Name | Renu S Goyal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801887070 PECOS PAC ID: 3971504978 Enrollment ID: I20070117000470 |
Provider Name | Betty C Cheng |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184805707 PECOS PAC ID: 8022108778 Enrollment ID: I20071218000290 |
Provider Name | Marat Abdullin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619159712 PECOS PAC ID: 4385719384 Enrollment ID: I20080826000132 |
Provider Name | Christopher B Maiona |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205881042 PECOS PAC ID: 1254374531 Enrollment ID: I20081108000019 |
Provider Name | Vishal K Tiwari |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1023155843 PECOS PAC ID: 0345393070 Enrollment ID: I20090729000013 |
Provider Name | Ashish Verma |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1164620324 PECOS PAC ID: 4688727753 Enrollment ID: I20090806000688 |
Provider Name | Trimble Augur |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104986959 PECOS PAC ID: 9830167188 Enrollment ID: I20090908000380 |
Provider Name | Peter J Dain |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043275902 PECOS PAC ID: 6406986827 Enrollment ID: I20100611000173 |
Provider Name | Crista Marie Callaghan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578972279 PECOS PAC ID: 5597985978 Enrollment ID: I20141007001508 |
Provider Name | Finlay O Oguku |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639560246 PECOS PAC ID: 1153638002 Enrollment ID: I20150910000402 |
Provider Name | Behdokht J Rouhi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841320678 PECOS PAC ID: 1557631942 Enrollment ID: I20170718000713 |
Provider Name | Brittany Chew |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194234963 PECOS PAC ID: 8820364250 Enrollment ID: I20171030001472 |
Provider Name | Terri Morris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972028124 PECOS PAC ID: 9537425855 Enrollment ID: I20171102000282 |
Provider Name | Jennifer Rose Grande |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124536537 PECOS PAC ID: 8022370543 Enrollment ID: I20180321002492 |
Provider Name | Jamie A Folan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962954560 PECOS PAC ID: 0143503961 Enrollment ID: I20180328002627 |
Provider Name | Marc Evarist Aube |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306326400 PECOS PAC ID: 9739430919 Enrollment ID: I20180927000940 |
Provider Name | Jessica D Zepke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871078204 PECOS PAC ID: 9335493790 Enrollment ID: I20181121001763 |
Provider Name | Roberta Finn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164809323 PECOS PAC ID: 4082952072 Enrollment ID: I20190218001562 |
Provider Name | Junnie A Charles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780197194 PECOS PAC ID: 2567727571 Enrollment ID: I20190520000127 |
Provider Name | Margaret Alice Traynham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326693086 PECOS PAC ID: 1052729043 Enrollment ID: I20210412001182 |
Provider Name | Amanda Gleason |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821606872 PECOS PAC ID: 2668872961 Enrollment ID: I20210608001828 |
Provider Name | Christina Cruz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548813728 PECOS PAC ID: 4284035049 Enrollment ID: I20210630002258 |
Provider Name | Jennifer Boakye |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366178303 PECOS PAC ID: 8921474743 Enrollment ID: I20221019003025 |
Provider Name | Imane Ouahidi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548999600 PECOS PAC ID: 0042687477 Enrollment ID: I20221027002478 |
Provider Name | Pamela Hannon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184320715 PECOS PAC ID: 0941674717 Enrollment ID: I20230317000147 |
Provider Name | Daniella Lamarre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598442618 PECOS PAC ID: 3476915497 Enrollment ID: I20230808002265 |
Provider Name | Jenna Lee Anthony |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073391926 PECOS PAC ID: 8123478906 Enrollment ID: I20231219003543 |
Provider Name | Comfort Animah Boampong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255099750 PECOS PAC ID: 7517305238 Enrollment ID: I20240401001635 |
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