EAST ELM PEDIATRICS
NPI 1215296777
Pediatrics - Adolescent Medicine in Pittsfield, MA

Active since May 03, 2012
426 EAST ST, PITTSFIELD, MA 01201(413) 442-8267(413) 442-8253 Get Directions Write a Review

NPPES record last updated: May 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About East Elm Pediatrics NPPES

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

EAST ELM PEDIATRICS (NPI 1215296777) is a healthcare organization registered as an adolescent medicine in Pittsfield, Massachusetts and active in the NPI registry since May 2012. The organization lists John C Dallenbach, Owner, as its authorized official.

NPPES Registry Identity

NPI1215296777
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameEAST ELM PEDIATRICS
Location Address426 EAST STPittsfield, MA 01201-5308
Mailing Address426 East StPittsfield, MA 01201-5308 · (413) 442-8267 · Fax (413) 442-8253
Fax(413) 442-8253
Organization SubpartNo
Authorized OfficialJohn C DallenbachOwner · (413) 442-8267
Enumeration DateMay 3, 2012
NPI 1215296777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in MA · 155179
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
426 EAST ST, Pittsfield, MA 01201

Other Identifiers 1

Medicaid3172473MA

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

Accepted Insurance

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Pediatrics)
426 EAST ST
PITTSFIELD, MA 01201
Pediatrics
426 EAST ST
PITTSFIELD, MA 01201
Nurse Practitioner (Pediatrics)
426 EAST ST
PITTSFIELD, MA 01201
Physician Assistant
426 EAST ST
PITTSFIELD, MA 01201
Physician Assistant (Medical)
426 EAST ST
PITTSFIELD, MA 01201
Clinic/Center (Primary Care)
426 EAST ST
PITTSFIELD, MA 01201
Physician Assistant (Medical)
426 EAST ST
PITTSFIELD, MA 01201
Pediatrics
426 EAST ST
PITTSFIELD, MA 01201

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 East Elm Pediatrics's NPI number?

The NPI number for East Elm Pediatrics is 1215296777. It was assigned to this organization in the NPPES registry on May 3, 2012.

Where is East Elm Pediatrics located?

East Elm Pediatrics is located at 426 East St, Pittsfield, MA 01201. The listed phone number is (413) 442-8267.

What is East Elm Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

What insurance does East Elm Pediatrics accept?

Health plans from Anthem Blue Cross and Blue Shield list East Elm Pediatrics as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Elm Pediatrics was last updated on May 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.