NEW ENGLAND CENTER FOR FUNCTIONAL MEDICINE PC – NPI #1730202938
Internal Medicine

A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

NEW ENGLAND CENTER FOR FUNCTIONAL MEDICINE PC is a provider located in SPRINGFIELD, MA. NPPES has assigned the NPI number 1730202938 to NEW ENGLAND CENTER FOR FUNCTIONAL MEDICINE PC on April 10, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is PIONEER VALLEY WEIGHT AND WELLNESS CENTERS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RB0002X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Obesity Medicine

The NPI profile was previously updated about 4 years ago on Nov 07, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NEW ENGLAND CENTER FOR FUNCTIONAL MEDICINE PC below.

NPI Profile for
NEW ENGLAND CENTER FOR FUNCTIONAL MEDICINE PC

NPI Number
1730202938
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NEW ENGLAND CENTER FOR FUNCTIONAL MEDICINE PC
Former Legal Business Name: PIONEER VALLEY WEIGHT AND WELLNESS CENTERS
Primary location
2 MEDICAL CENTER DR
SUITE 202
SPRINGFIELD, MA 01107
Phone: (413) 205-1200 Fax: (413) 205-1220
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHRISTOPHER KEROACK
MEDICAL DIRECTOR
Phone: (413) 205-1200
Updated
Certification Date
Nov 07, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for NEW ENGLAND CENTER FOR FUNCTIONAL MEDICINE PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBSMAM19415
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RB0002X
- Internal Medicine / Obesity Medicine (Primary)
207R00000X
- Internal Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.