Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pediatric Gastroenterology and Nutrition Group, PC

Organization Pediatric Gastroenterology Physician · NPI 1164733093

Pediatric Gastroenterology and Nutrition Group, PC provides Pediatric Gastroenterology Physician services in Springfield, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2010.

Licensed in
MA
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3640 Main St Ste 204
Springfield, MA 01107-1145 Not confirmed with CMS for 16 years — call before visiting
Phone: (413) 304-2650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence 233855 (MA)

Record details

NPI number1164733093
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Goode — President · (347) 327-3874
NPI enumeratedJune 25, 2010
Last updated in NPPESJune 25, 2010
Mailing address3640 Main St, Suite 204, Springfield, MA 01107-1145

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