Provider Demographics
NPI:1124080353
Name:ROHRBACHER, JAYNE (MD)
Entity type:Individual
Prefix:DR
First Name:JAYNE
Middle Name:
Last Name:ROHRBACHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 SUMNER AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01108-2458
Mailing Address - Country:US
Mailing Address - Phone:413-739-1100
Mailing Address - Fax:413-737-1643
Practice Address - Street 1:532 SUMNER AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01108-2458
Practice Address - Country:US
Practice Address - Phone:413-739-1100
Practice Address - Fax:413-737-1643
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA71542208000000X
NH13327208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000049358OtherBMC HEALTH NET PLAN
MA1124080353OtherTUFTS (BAYCARE PARTNERS)
MA71542OtherLICENSE
MA6247326OtherCIGNA
MAAA126382OtherHARVARD PILGRIM
MA1124080353OtherNHP
MA38150OtherHNE
MAMR0617918AOtherSTATE CSR
MA071542OtherCONNECTICARE
MA1124080353OtherFALLON CARE (BAYCARE PARTNERS)
MA96632902OtherNETWORK HEALTH
MA96632902OtherNETWORK HEALTH
MAM21172Medicare PIN
MA000000049358OtherBMC HEALTH NET PLAN
MA71542OtherLICENSE