# BAYSTATE MEDICAL PRACTICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baystate Medical Education & Research Foundation, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548205909
- **Authorized official:** LISA LAPERRIERE (MANAGER PROVIDER ENROLLMENT)
- **Authorized official phone:** (413) 794-3909

## Contact information

- **Practice address:** 759 CHESTNUT ST, SPRINGFIELD, MA 01199-1001
- **Practice address phone:** (413) 794-5700
- **Practice address fax:** (413) 794-1629
- **Mailing address:** 280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 01199-1000
- **Mailing address phone:** (413) 794-5700
- **Mailing address fax:** (413) 794-1629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | — |
| 207RH0003X | Hematology & Oncology Physician | — | — | — |
| 207T00000X | Neurological Surgery Physician | — | NULL | — |
| 207T00000X | Neurological Surgery Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | — |
| 363AS0400X | Surgical Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LA2100X | Acute Care Nurse Practitioner | 000000 | MA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | MA | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | MA | — |

## Other

- **Enumeration date:** 06/19/2006
- **Last updated:** 03/18/2026