DR. SCOTT M HALISTA (NPI# 1548257496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548257496 |
| Entity Type | Individual |
| Full Name | DR. SCOTT M HALISTA |
| Credential | MD |
| Practice Address |
3377 Main St Springfield MA 01107-1111 |
| Practice Telephone | 4137345661 |
| Mailing Telephone | 4137345661 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2008-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
75526 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | UPIN MEDICARE PREVIOUS | F21661 | 01 |
| MA | 3089193 | 05 |
| Street Address |
3377 MAIN ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942297254 | Robert G Gray | Internal Medicine | 3377 Main St, Springfield, MA 01107-1111 | 2005-10-03 |
| 1790987576 | Rheumatology Associates PC | Physical Medicine & Rehabilitation | 3377 Main St, Springfield, MA 01107-1111 | 2007-06-04 |
| 1124238985 | Antonio Valentin | Internal Medicine | 3377 Main St, Springfield, MA 01107-1111 | 2007-05-23 |
| 1336369347 | Norma J Bellerosr | Physical Therapist | 3377 Main St, Springfield, MA 01107-1111 | 2007-05-01 |
| 1063403178 | Kate E Callahan | Physical Therapist | 3377 Main St, Springfield, MA 01107-1111 | 2005-10-31 |
| 1255322368 | Jill E Lewin | Physical Therapist | 3377 Main St, Springfield, MA 01107-1111 | 2005-10-31 |
| 1902896905 | Rheumatology Associates PC | Internal Medicine | 3377 Main St, Springfield, MA 01107-1111 | 2005-10-21 |
| 1699763888 | Gale M Mason | Nurse Practitioner | 3377 Main St, Springfield, MA 01107-1111 | 2005-10-11 |
| 1760479075 | Carter B Tallman Jr. | Internal Medicine | 3377 Main St, Springfield, MA 01107-1111 | 2005-10-03 |
| 1205823515 | Donald R Griger | Internal Medicine | 3377 Main St, Springfield, MA 01107-1111 | 2005-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487096996 | Dilpreet Kaur Singh | Internal Medicine | 3377 Main Street, Springfield, MA 01107-1111 | 2013-07-25 |
| 1215296215 | Beenish Nazir Hafiz | Internal Medicine | 751 N Rutledge St Ste 2300, Springfield, IL 62702-4968 | 2012-05-10 |
| 1548325723 | Mujeeb Ranginwala, Md | Internal Medicine | 2029 E High St, Springfield, OH 45505-1315 | 2006-12-27 |
| 1205840345 | Mujeeb A Ranginwala | Internal Medicine | 1929 E High St, Springfield, OH 45505-1227 | 2006-07-27 |
| 1972546786 | Stephen D Armstrong | Internal Medicine | 3555 S National, Springfield, MO 65807 | 2006-06-13 |
| 1609854769 | David Gregory True | Internal Medicine | 4350 S National Ave Ste C100, Springfield, MO 65810-2658 | 2006-01-08 |
| 1942297254 | Robert G Gray | Internal Medicine | 3377 Main St, Springfield, MA 01107-1111 | 2005-10-03 |
| 1902448426 | 417 Rheumatology LLC | Internal Medicine | 4350 S National Ave Ste C100, Springfield, MO 65810-2658 | 2019-10-16 |
| 1407218571 | Anthony John Nicolas | Internal Medicine | Baystate Medical Center 759 Chestnut St, Springfield, MA 01199-0001 | 2016-03-28 |
| 1518251370 | Dane H Dougherty | Internal Medicine | 1007 Harlow Rd, Springfield, OR 97477-7124 | 2011-06-08 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
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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.