| Springfield Medical Associates, Inc | |
|
2150 Main St Springfield MA 01104-3300 | |
| (413) 739-5676 | |
| (413) 739-2278 |
| Full Name | Springfield Medical Associates, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2150 Main St, Springfield, Massachusetts |
| Authorized Official Name and Position | Michael P Coppola (PRESIDENT) |
| Authorized Official Contact | 4137395676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Medical Associates, Inc 2150 Main St Springfield MA 01104-3300 Ph: (413) 739-5676 | Springfield Medical Associates, Inc 2150 Main St Springfield MA 01104-3300 Ph: (413) 739-5676 |
| NPI Number | 1386661148 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 02/16/2010 |
| Medicare PECOS PAC ID | 6103725452 |
|---|---|
| Medicare Enrollment ID | O20040107000664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386661148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Julie Marie Wondolowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205857000 PECOS PAC ID: 7315910544 Enrollment ID: I20040817000136 |
| Provider Name | Izabela Krakowiak Colasacco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972795102 PECOS PAC ID: 2062570898 Enrollment ID: I20081023000472 |
| Provider Name | Howard D Ro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457345605 PECOS PAC ID: 8628100393 Enrollment ID: I20100924001063 |
| Provider Name | Darren Stephen Oneill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861434607 PECOS PAC ID: 9739211491 Enrollment ID: I20100929001009 |
| Provider Name | Kaitlin G Pulito |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215245543 PECOS PAC ID: 8123266715 Enrollment ID: I20151203000380 |
| Provider Name | Peter John Drennan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629043625 PECOS PAC ID: 5890684021 Enrollment ID: I20200129002591 |
| Provider Name | Miriam Shoshana Buckberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578549010 PECOS PAC ID: 5991875056 Enrollment ID: I20200219001145 |
| Provider Name | Neal S Lakritz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780640383 PECOS PAC ID: 0749263028 Enrollment ID: I20210525001488 |
| Provider Name | Patrick R Gibson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861406597 PECOS PAC ID: 0446310437 Enrollment ID: I20221230000747 |
| Provider Name | John D Bedford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912965542 PECOS PAC ID: 0547215683 Enrollment ID: I20230512001753 |
| Provider Name | Francis D Murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528026499 PECOS PAC ID: 5698750321 Enrollment ID: I20230515000173 |
| Provider Name | Cailyn E Bolduc |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215748355 PECOS PAC ID: 4284158353 Enrollment ID: I20260108000705 |
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