# BAYSTATE MEDICAL PRACTICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BAYSTATE MEDICAL PRACTICES, INC.
- **Other names:** GTR Springfield Primary Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396064028
- **Legal business name:** BAYSTATE MEDICAL PRACTICES, INC.
- **Authorized official:** DEBRA A. CREMONTI (DIRECTOR OF MEDICAL STAFF SERVICES)
- **Authorized official phone:** (413) 794-5508

## Contact information

- **Practice address:** 759 CHESTNUT ST, SPRINGFIELD, MA 01199-1001
- **Practice address phone:** (413) 794-5700
- **Mailing address:** 280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 01199-1000
- **Mailing address phone:** (413) 794-5700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/20/2010
- **Last updated:** 05/20/2010