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Export Provider Record NPI 1174296560
Mmaserame Gaefele
Active
NPI Number1174296560
NPI TypeNPI-1 Individual
SpecialtyStudent in an Organized Health Care Education/Training Program
Provider Details
NPI1174296560
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2021-07-30
Last Updated2022-06-09
Mailing AddressBaystate Medical Center 759 Chestnut Street
Springfield, MA 01199-0001
United States
Phone: (413) 794-0000
📍 View Map
Primary Practice AddressBaystate Medical Center 759 Chestnut Street
Springfield, MA 01199-0001
United States
Phone: (413) 794-0000
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No207Q00000X – Family MedicinePAMT224501
Yes390200000X – Student in an Organized Health Care Education/Training Program--
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About NPI 1174296560

Mmaserame Gaefele is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1174296560. The primary specialty listed is Student in an Organized Health Care Education/Training Program. The provider is located in Springfield, MA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-07-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1174296560?

NPI 1174296560 belongs to Mmaserame Gaefele, a Student in an Organized Health Care Education/Training Program in Springfield, MA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1174296560 active?

The current status of NPI 1174296560 in the NPPES registry is Active. The record was last updated on 2022-06-09.

What specialty is NPI 1174296560?

NPI 1174296560 is classified under the taxonomy Student in an Organized Health Care Education/Training Program. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1174296560?

You can verify NPI 1174296560 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1174296560?

The primary practice address on file for NPI 1174296560 is Baystate Medical Center 759 Chestnut Street, Springfield, MA 01199-0001. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1174296560 issued?

NPI 1174296560 was first issued (enumerated) on 2021-07-30. The NPPES record was last updated on 2022-06-09.

Practice Location Map

Mmaserame Gaefele is located at Baystate Medical Center 759 Chestnut Street, Springfield, MA. Use the map below to find directions or verify the practice location.

📍 Baystate Medical Center 759 Chestnut Street, Springfield, MA 01199-0001  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Mmaserame Gaefele. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1174296560. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Family MedicineMT224501PA
Data Verified from CMS NPPES Last synced: 2026-07-09 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162