1124125547 NPI number — BAYSTATE MEDICAL CENTER INC

Table of content: DR. JOSHUA JAMES WERLING O.D. (NPI 1962816199)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124125547 NPI number — BAYSTATE MEDICAL CENTER INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BAYSTATE MEDICAL CENTER INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124125547
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/06/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
759 CHESTNUT ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPRINGFIELD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01199-1001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-794-3291
Provider Business Mailing Address Fax Number:
413-794-9377

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
759 CHESTNUT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01199-1001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-794-3291
Provider Business Practice Location Address Fax Number:
413-794-9377
Provider Enumeration Date:
09/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MARTIN
Authorized Official First Name:
LAURIE
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
413-794-3291

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  DS89912 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 110020829/C , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2232762 . This is a "NCPDP" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com