Basic Information
| Provider Information | |||||||||
| NPI: | 1609956085 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HELMUTH | ||||||||
| FirstName: | PAUL | ||||||||
| MiddleName: | JOSEPH | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3640 MAIN ST | ||||||||
| Address2: | SUITE 207 | ||||||||
| City: | SPRINGFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 011071145 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4137390669 | ||||||||
| FaxNumber: | 4137390621 | ||||||||
| Practice Location | |||||||||
| Address1: | 3640 MAIN ST | ||||||||
| Address2: | SUITE 207 | ||||||||
| City: | SPRINGFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 011071145 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4137390669 | ||||||||
| FaxNumber: | 4137390621 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/17/2006 | ||||||||
| LastUpdateDate: | 07/13/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 81068 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | 81068 | MA | N | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 081068 | 01 | MA | CONNECTICARE | OTHER | J16736 | 01 | MA | BLUE CROSS | OTHER | 3155561 | 05 | MA | MEDICAID | 005129523 | 01 | MA | AETNA | OTHER | 38540 | 01 | MA | CHILDRENS MEDICAL SECURIT | OTHER | 6551222 | 01 | MA | CIGNA | OTHER | 66087 | 01 | MA | HARVARD PILGRIM | OTHER | 000000022120 | 01 | MA | BMC HEALTHNET | OTHER | 081068 | 01 | MA | TUFTS | OTHER | 18629 | 01 | MA | HEALTH NEW ENGLAND | OTHER | 110199716 | 01 | MA | RAILROAD MEDICARE | OTHER | 98308101 | 01 | MA | NETWORK HEALTHNET | OTHER |