PEDIATRIC GASTROENTEROLOGY AND NUTRITION GROUP, P.C. – Pediatric Gastroenterology Physician, NPI 1164733093

PEDIATRIC GASTROENTEROLOGY AND NUTRITION GROUP, P.C. is a healthcare provider. based in Springfield, Massachusetts. specializing in Pediatric Gastroenterology Physician. The organization holds a License No. 233855 (MA). The NPI Number for PEDIATRIC GASTROENTEROLOGY AND NUTRITION GROUP, P.C. is 1164733093

Main info

Organization
Name
PEDIATRIC GASTROENTEROLOGY AND NUTRITION GROUP, P.C.
NPI
1164733093
Phone
(413) 304-2650
Address
3640 MAIN ST
Authorized Official
DR. SUSAN P GOODE PRESIDENT M.D
Enumeration Date
25 June 2010
Last Update Date
25 June 2010
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for PEDIATRIC GASTROENTEROLOGY AND NUTRITION GROUP, P.C.

  • 3640 MAIN ST

    SUITE 204

    SPRINGFIELD, MA 011071145

    Phone: (413) 304-2650

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01107)

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Frequently asked questions

Is there an official ID for PEDIATRIC GASTROENTEROLOGY AND NUTRITION GROUP, P.C. in U.S. healthcare records?
The official identifier for PEDIATRIC GASTROENTEROLOGY AND NUTRITION GROUP, P.C. is NPI 1164733093.
Would PEDIATRIC GASTROENTEROLOGY AND NUTRITION GROUP, P.C. appear as active to a payer?
You can treat PEDIATRIC GASTROENTEROLOGY AND NUTRITION GROUP, P.C. as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for PEDIATRIC GASTROENTEROLOGY AND NUTRITION GROUP, P.C.?
At a glance, PEDIATRIC GASTROENTEROLOGY AND NUTRITION GROUP, P.C. is tied to Pediatric Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is PEDIATRIC GASTROENTEROLOGY AND NUTRITION GROUP, P.C. registered?
Use Springfield, Massachusetts as the headline location for PEDIATRIC GASTROENTEROLOGY AND NUTRITION GROUP, P.C. here.
Can I trust this NPI listing for PEDIATRIC GASTROENTEROLOGY AND NUTRITION GROUP, P.C.?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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