Provider Demographics
NPI:1902852205
Name:WESTFIELD EMERGENCY PHYSICIANS, P.C.
Entity Type:Organization
Organization Name:WESTFIELD EMERGENCY PHYSICIANS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MURDOC
Authorized Official - Middle Name:
Authorized Official - Last Name:KHALEGHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-457-4523
Mailing Address - Street 1:PO BOX 419218
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-9218
Mailing Address - Country:US
Mailing Address - Phone:781-280-1736
Mailing Address - Fax:610-834-2862
Practice Address - Street 1:115 WEST SILVER STREET
Practice Address - Street 2:BAYSTATE NOBLE HOSPITAL EMERGENCY DEPARTMENT
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085
Practice Address - Country:US
Practice Address - Phone:413-568-2811
Practice Address - Fax:413-562-7896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9785477Medicaid
MA24890OtherHEALTHCARE NEW ENGLAND
MA103255000OtherUS DEPARTMENT OF LABOR
MAM17291OtherGROUP BLUE SHIELD NUMBER
MA000000021085OtherHEALTH NET PLAN
MAM20737Medicare PIN
MACG4346Medicare PIN
MACG4346Medicare PIN