GREATER SPRINGFIELD SURGERY CENTER, LLC (NPI# 1902039936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902039936 |
| Entity Type | Organization |
| Organization Name | GREATER SPRINGFIELD SURGERY CENTER, LLC |
| Practice Address |
100 Wason Avenue Springfield MA 01107 |
| Mailing Address |
Po Box 311244 Newington CT 06131-1244 |
| Practice Telephone | 8606671815 |
| Practice Fax Number | 8606661738 |
| Mailing Telephone | 8606671815 |
| Mailing Fax Number | 8606661738 |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |
| Authorized Official Name | DR. WILLIAM E. SWANSON (MEMBER) |
| Authorized Official Telephone | 8606671815 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
203565 | MA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | GREATER SPRINGFIELD SURGERY CENTER, LLC | 100 Wason Ave., Suite 110, Springfield, MA 01107 |
| Street Address |
100 WASON AVENUE |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861493132 | Elizabeth W. Brady | Surgery | 100 Wason Avenue, Springfield, MA 01107-1179 | 2005-08-09 |
| 1699339119 | Megan Marie Elterman | Nurse Practitioner | 100 Wason Avenue, Springfield, MA 01107-1179 | 2019-04-30 |
| 1568917854 | Angela Costanzi | Audiologist | 100 Wason Avenue, Suite 100, Springfield, MA 01107 | 2016-08-17 |
| 1639557267 | Jordan Elizabeth Mclevedge | Physician Assistant | 100 Wason Avenue, Suite 100, Springfield, MA 01107 | 2015-05-14 |
| 1407248735 | Bridget Theresa Davis | Audiologist | 100 Wason Avenue, Suite 100, Springfield, MA 01107 | 2015-02-24 |
| 1073913000 | Tricia A. Porter | Nurse Practitioner | 100 Wason Avenue, Suite 230, Springfield, MA 01107-1179 | 2014-08-27 |
| 1922393669 | Danielle M Lipoff | Surgery | 100 Wason Avenue, Springfield, MA 01107-1179 | 2011-06-10 |
| 1144452939 | Ila Karen Shebar | Nurse Practitioner | 100 Wason Avenue, Suite 120, Springfield, MA 01107-1119 | 2009-08-13 |
| 1437388527 | Victoria K Pepper | Surgery | 100 Wason Avenue, Springfield, MA 01107-1381 | 2009-07-09 |
| 1295987808 | Catherine A. Moretti | Physician Assistant | 100 Wason Avenue, Suite 230, Springfield, MA 01107 | 2008-10-14 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225174089 | Arnold Surgery Center | Clinic/Center | 1011 E Montclair St, Springfield, MO 65807-5075 | 2007-01-29 |
| 1912963810 | Springfield Surgery Center Lp | Clinic/Center | 2685 E High St, Springfield, OH 45505-1412 | 2006-04-21 |
| 1073588448 | Surgery Center of Springfield | Clinic/Center | 1350 E Woodhurst Dr, Springfield, MO 65804-4281 | 2006-02-21 |
| 1760457204 | Orthopaedic Surgery Center of Illinois, LLC | Clinic/Center | 3136 Old Jacksonville Rd, Suite 250, Springfield, IL 62704-6487 | 2006-02-20 |
| 1427028919 | Cascade Endoscopy Center, LLC | Clinic/Center | 1007 Harlow Road, Suite 110, Springfield, OR 97477 | 2006-01-25 |
| 1205810553 | Orthopaedic Asc of Springfield LLC | Clinic/Center | 3045 S National Ave, Suite 101, Springfield, MO 65804-4247 | 2005-11-30 |
| 1578551594 | Mercy Surgery Center, Ltd | Clinic/Center | 2610 N Limestone St, Springfield, OH 45503-1114 | 2005-10-13 |
| 1366449910 | Oregon Endoscopy Center, LLC | Clinic/Center | 3355 Riverbend Dr, Suite 510, Springfield, OR 97477-8800 | 2005-06-28 |
| 1588667208 | Bradford Place Surgery and Laser Center LLC | Clinic/Center | 1531 E Bradford Pkwy, Ste 120, Springfield, MO 65804-6539 | 2005-05-27 |
| 1295738375 | Oregon Surgicenter LLC | Clinic/Center | 2400 Hartman Ln, Ste 300, Springfield, OR 97477-1198 | 2005-05-23 |
| 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.