SLEEP MEDICINE SERVICES OF WESTERN MASSACHUSETTS LLC (NPI# 1750332771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750332771 |
| Entity Type | Organization |
| Organization Name | SLEEP MEDICINE SERVICES OF WESTERN MASSACHUSETTS LLC |
| Practice Address |
3640 Main St Ste 208 Springfield MA 01107-1192 |
| Practice Telephone | (413) 253-2767 |
| Practice Fax Number | 4132539767 |
| Mailing Telephone | 4132532767 |
| Mailing Fax Number | 4132539767 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2019-07-26 |
| Authorized Official Name | DR. BRIAN SMITH III (OWNER) |
| Authorized Official Telephone | 4132532767 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS MA | M19058 | 01 |
| MA | TUFTS | 623943 | 01 |
| MA | 9752901 | 05 | |
| MA | HEALTH NOW | 5510880001 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 267 Locust St Ste 101, Northampton, MA 010622770 | 4132532767 | |
| 332 Pleasant St, Northampton, MA 010603917 | 4132532767 | 4132539767 |
| 90 Conz St Ste 101, Northampton, MA 010603881 | 4132532767 | 4132539767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043655897 | Sleep Medicine Services of Western Massachusetts LLC | Physician Assistant | 3640 Main St., Suite 208, Springfield, MA 01107 | 2013-05-07 |
| 1891994042 | Sleep Medicine Services of Western Massachusetts LLC | Durable Medical Equipment & Medical Supplies | 3640 Main St Ste 208, Springfield, MA 01107-1192 | 2007-07-17 |
| Street Address |
3640 MAIN ST STE 208 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891994042 | Sleep Medicine Services of Western Massachusetts LLC | Durable Medical Equipment & Medical Supplies | 3640 Main St Ste 208, Springfield, MA 01107-1192 | 2007-07-17 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750941639 | Ammar Tarabichi | Psychiatry & Neurology | 751 N Rutledge, Springfield, Il, Springfield, IL 62794 | 2019-06-13 |
| 1316441470 | Earl Randolph Hackett | Psychiatry & Neurology | 2517 S. Brentwood, Springfield, MO 65804-3201 | 2018-03-22 |
| 1336668326 | Western Mass Neurology PC | Psychiatry & Neurology | 175 Carew St Ste 140, Springfield, MA 01104-2389 | 2017-09-12 |
| 1407111313 | Pavan Tummala | Psychiatry & Neurology | 3800 S National Ave Ste 900, Springfield, MO 65807-5209 | 2012-07-06 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1053553560 | Quantum Total Health | Psychiatry & Neurology | 607 S Locust St, Springfield, TN 37172 | 2009-03-30 |
| 1154513687 | Fazeel Mukhtar Siddiqui | Psychiatry & Neurology | 751 N Rutledge St Ste 3100, Springfield, IL 62702-4968 | 2007-08-17 |
| 1164593646 | Michael Balm | Psychiatry & Neurology | 1 Hayden Bridge Way Ste 410, Springfield, OR 97477-1347 | 2006-11-13 |
| 1881638591 | Rodney D Quinn | Psychiatry & Neurology | 3801 S National Ave # 900, Springfield, MO 65807-5210 | 2006-06-15 |
| 1255399754 | Joshua D Warach Md Sc | Psychiatry & Neurology | 536 N Bruns Ln, Suite 2a, Springfield, IL 62702-4667 | 2006-05-03 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
Please comment or provide details below to improve the information on SLEEP MEDICINE SERVICES OF WESTERN MASSACHUSETTS LLC.
| 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.