Provider Demographics
NPI:1962781021
Name:KRIEGSMAN, ARI JOSHUA (MD)
Entity type:Individual
Prefix:DR
First Name:ARI
Middle Name:JOSHUA
Last Name:KRIEGSMAN
Suffix:
Gender:
Credentials:MD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:INPATIENT ADDICTION CONSULT SERVICE
Mailing Address - Street 2:271 CAREW STREET
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-2377
Mailing Address - Country:US
Mailing Address - Phone:413-539-2958
Mailing Address - Fax:413-539-2887
Practice Address - Street 1:395 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-3779
Practice Address - Country:US
Practice Address - Phone:413-272-1333
Practice Address - Fax:413-858-2617
Is Sole Proprietor?:No
Enumeration Date:2011-08-08
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA274479207R00000X, 207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110139145AMedicaid