Provider Demographics
NPI:1568573533
Name:KANE, RICHARD M (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:M
Last Name:KANE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:280 CHESTNUT ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01199-1001
Mailing Address - Country:US
Mailing Address - Phone:413-794-5700
Mailing Address - Fax:
Practice Address - Street 1:40 WRIGHT ST
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:MA
Practice Address - Zip Code:01069-1138
Practice Address - Country:US
Practice Address - Phone:413-284-5400
Practice Address - Fax:413-284-5559
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA41100207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
200044787OtherRAILROAD MEDICARE
MAH21070OtherBLUECROSS/BLUESHIELD
MA0181862Medicaid
173401OtherHARVARD PILGRIM HLTH CARE
4423OtherFALLON COMMUNITY HLTH PLA
975631OtherNETWORK HEALTH PLAN
4871377004OtherCIGNA
765948OtherCONNECTICARE
E36359Medicare UPIN
M12893Medicare UPIN
700153OtherTUFTS COMM. HEALTH PLAN