BERKSHIRE COLON & RECTAL SURGERY, LLC (NPI# 1043475932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043475932 |
| Entity Type | Organization |
| Organization Name | BERKSHIRE COLON & RECTAL SURGERY, LLC |
| Practice Address |
777 North St Suite 605 Pittsfield MA 01201-4147 |
| Mailing Address |
93 Ridge Ave Pittsfield MA 01201-4147 |
| Practice Telephone | 4134472859 |
| Practice Fax Number | 4133466703 |
| Mailing Telephone | 4134472859 |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2013-06-19 |
| Authorized Official Name | DR. MARCELLA W. BRADWAY (OWNER) |
| Authorized Official Telephone | 4134472859 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | RAILROAD MEDICARE | D04850 | 01 |
| Street Address |
777 NORTH ST SUITE 605 |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-4147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053313197 | Kyle A. Cooper | Internal Medicine | 777 North St, Cardiology, Pittsfield, MA 01201-4147 | 2005-06-01 |
| 1720606387 | Autumn Marie Wood | Counselor | 777 North St, Pittsfield, MA 01201-4147 | 2020-07-10 |
| 1538716147 | Robert James Shearer | General Acute Care Hospital | 777 North St, Pittsfield, MA 01201-4147 | 2019-08-20 |
| 1659840825 | Bridget Marie Brockway | Nurse Practitioner | 777 North St, Pittsfield, MA 01201-4147 | 2018-11-17 |
| 1174099386 | Shannon Patricia O'driscoll | Physician Assistant | 777 North St, Pittsfield, MA 01201-4147 | 2018-10-16 |
| 1780178434 | Sharon Parmenter | Nurse Practitioner | 777 North St, Pittsfield, MA 01201-4147 | 2018-06-17 |
| 1023535259 | Lauren Fleury | Nurse Practitioner | 777 North St, Pittsfield, MA 01201 | 2017-08-28 |
| 1831636224 | Shannon Marie Mclaughlin | Nurse Practitioner | 777 North St, Berkshire Ob/gyn Suite, Pittsfield, MA 01201-4147 | 2017-01-24 |
| 1841654399 | Kelly Kennedy | Dietitian, Registered | 777 North St, Pittsfield, MA 01201-4147 | 2016-04-11 |
| 1194128439 | Berkshire Faculty Services | Clinic/Center | 777 North St, Pittsfield, MA 01201-4147 | 2014-10-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467411926 | Timothy C Counihan | Colon & Rectal Surgery | 777 North Street, Pittsfield, MA 01201 | 2006-03-22 |
| 1669478657 | Marcella W Bradway | Colon & Rectal Surgery | 777 North St, Suite 605, Pittsfield, MA 01201-4147 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629377023 | Anne Fabrizio | Colon & Rectal Surgery | 330 Brookline Ave # Gz-605, Boston, MA 02215-5400 | 2011-03-24 |
| 1427262906 | David W Lin | Colon & Rectal Surgery | 21 Village Square, Chelmsford, MA 01824-2712 | 2007-05-10 |
| 1689892481 | Evangelos Messaris | Colon & Rectal Surgery | 330 Brookline Ave # 6, Boston, MA 02215 | 2007-04-24 |
| 1164405585 | Jan B Wojcik | Colon & Rectal Surgery | 175 Carew Street, Suite 110, Springfield, MA 01104 | 2005-11-21 |
| 1881012524 | Sue Jean Hahn | Colon & Rectal Surgery | 55 Lake Ave N, Worcester, MA 01655 | 2014-03-31 |
| 1043505738 | Robert Neil Goldstone | Colon & Rectal Surgery | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2011-06-10 |
| 1285954651 | Julia T Saraidaridis | Colon & Rectal Surgery | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2010-06-08 |
| 1063650463 | Deborah Ruth Schnipper | Colon & Rectal Surgery | 2000 Washington St, Suite 365, Newton, MA 02462-1627 | 2009-01-23 |
| 1447417738 | Todd D Francone | Colon & Rectal Surgery | 41 Mall Rd, Lahey Hospital & Medical Center, Burlington, MA 01805-0001 | 2008-05-22 |
| 1629110382 | Melissa Monique Murphy | Colon & Rectal Surgery | 75 Francis St, Division of Surgery / Brigham and Women's Hospital, Boston, MA 02115-6110 | 2007-02-12 |
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| City | PITTSFIELD |
| Zip Code | 01201 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.