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Pediatric Gastroenterology & Nutrition of Western Ma

Pediatrics Physician in Springfield, MA · enumerated 2005 · authorized official None None, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093792533

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Registry record

Entity type Organization (Type 2)
Legal business name Pediatric Gastroenterology & Nutrition of Western Ma
Practice address 2 Medical Center Dr, Springfield, MA, 01107
Enumeration date Dec 27, 2005
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name None None
Title President

Other identifiers

Identifier Type State Issuer
9710931 Medicaid MA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.
Where is Pediatric Gastroenterology & Nutrition of Western Ma located?
The practice location on file with NPPES is in Springfield, MA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.