Provider Demographics
NPI:1851382030
Name:SHREEFTER, MICHAEL J (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:SHREEFTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-4147
Mailing Address - Country:US
Mailing Address - Phone:413-499-8570
Mailing Address - Fax:413-499-8565
Practice Address - Street 1:777 NORTH ST
Practice Address - Street 2:SUITE 301
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201
Practice Address - Country:US
Practice Address - Phone:413-499-8570
Practice Address - Fax:413-499-8570
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA39265207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0019361OtherNEIGHBORHOOD HEALTH PLAN
10034453OtherCAPITAL DISTRICT PHP
I22236OtherBLUE SHIELD
000000022179OtherBMC HEALTH NET PLAN
2339988OtherAETNA
043517461OtherNO AMERICAN ADMIN
160039OtherMVP SELECT
16406OtherHEATH NEW ENGLAND
MA2045478Medicaid
41581OtherHEALTHY START
043517461OtherCIGNA
043517461OtherHMC PPO
80314OtherGIC INDEMNITY PLAN
A56012OtherHARVARD COMM HEALTH
043517461OtherCHAMPUS
160053242OtherMEDICARE RAILROAD
043517461OtherHCVM FIRST HEALTH
I22236OtherHMO BLUE
043517461OtherNO AMERICAN ADMIN
160053242OtherMEDICARE RAILROAD