1568556702 NPI number — ROBERT HOWE, MD, PC

Table of content: (NPI 1568556702)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568556702 NPI number — ROBERT HOWE, MD, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROBERT HOWE, MD, PC
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:
REPRODUCTIVE MEDICINE CENTER OF WESTERN MASS
Provider Other Organization Name Type Code:
3
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:
1568556702
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/09/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
281 MAPLE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EAST LONGMEADOW
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01028-2712
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-525-5160
Provider Business Mailing Address Fax Number:
413-525-5170

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
281 MAPLE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAST LONGMEADOW
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01028-2712
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-525-5160
Provider Business Practice Location Address Fax Number:
413-525-5170
Provider Enumeration Date:
10/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HOWE
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
S
Authorized Official Title or Position:
PROVIDER
Authorized Official Telephone Number:
413-525-5160

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  219908 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207VE0102X , with the licence number: 71308 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207VG0400X , with the licence number: 71308 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 2085U0001X , with the licence number: 71308 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: J09096 . This is a "BLUE CROSS/BLUE SHIELD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 9778578 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 13197 . This is a "HEALTH NEW ENGLAND" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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