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PEDIATRIC GASTROENTEROLOGY AND NUTRITION GROUP, P.C.
NPI 1164733093
Pediatrics - Pediatric Gastroenterology in Springfield, MA

Active since June 25, 2010
3640 MAIN ST, SUITE 204, SPRINGFIELD, MA 01107(413) 304-2650 Get Directions Write a Review

NPPES record last updated: June 25, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Gastroenterology And Nutrition Group, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC GASTROENTEROLOGY AND NUTRITION GROUP, P.C. (NPI 1164733093) is a healthcare organization registered as a pediatric gastroenterology in Springfield, Massachusetts and active in the NPI registry since June 2010. The organization lists Susan P Goode, President, as its authorized official.

NPPES Registry Identity

NPI1164733093
Entity TypeOrganization
Primary Taxonomy2080P0206X
Legal Business NamePEDIATRIC GASTROENTEROLOGY AND NUTRITION GROUP, P.C.
Location Address3640 MAIN ST, SUITE 204Springfield, MA 01107-1145
Mailing Address3640 Main St, Suite 204Springfield, MA 01107-1145 · (413) 304-2650
Phone(413) 304-2650
Organization SubpartNo
Authorized OfficialSusan P GoodePresident · (347) 327-3874
Enumeration DateJune 25, 2010
✔ NPI 1164733093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in MA · 233855
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
3640 MAIN ST, Springfield, MA 01107
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VALLEY MEDICAL ASSOCIATES, PC
Internal Medicine
3640 MAIN ST, SUITE 207
SPRINGFIELD, MA 01107
Hampden County (413) 739-0669
MARIANNE E LANGLOIS PA-C
Physician Assistant
3640 MAIN ST, SUITE 302
SPRINGFIELD, MA 01107
Hampden County (413) 732-4242
DR. RONALD J GAILUN MD
Ophthalmology
3640 MAIN ST, STE 201
SPRINGFIELD, MA 01107
Hampden County (413) 732-2333
DR. JASON L. PORT M.D.
Radiology (Neuroradiology)
3640 MAIN ST, SUITE 101
SPRINGFIELD, MA 01107
Hampden County (413) 781-9000
K. FRANCIS LEE, M.D., P.C.
Surgery
3640 MAIN ST, SUITE 302
SPRINGFIELD, MA 01107
Hampden County (413) 732-4242
DR. GREGORY J FAUST M.D.
Specialist
3640 MAIN ST, SUITE 205
SPRINGFIELD, MA 01107
Hampden County (413) 739-7367
DR. DAVID DIRAN AGAHIGIAN M.D.
Ophthalmology
3640 MAIN ST, SUITE 201
SPRINGFIELD, MA 01107
Hampden County (413) 732-2333
ALICIA A HIGGINS PA-C
Physician Assistant (Surgical)
3640 MAIN ST, SUITE 302
SPRINGFIELD, MA 01107
Hampden County (413) 732-4242

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Gastroenterology And Nutrition Group, P.C.'s NPI number?

The NPI number for Pediatric Gastroenterology And Nutrition Group, P.C. is 1164733093. It was assigned to this organization in the NPPES registry on June 25, 2010.

Where is Pediatric Gastroenterology And Nutrition Group, P.C. located?

Pediatric Gastroenterology And Nutrition Group, P.C. is located at 3640 Main St Suite 204, Springfield, MA 01107. The listed phone number is (413) 304-2650.

What is Pediatric Gastroenterology And Nutrition Group, P.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

When was this NPI record last updated?

The NPPES record for Pediatric Gastroenterology And Nutrition Group, P.C. was last updated on June 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.