Provider Demographics
NPI:1992791800
Name:KASPER, AMY C (MD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:C
Last Name:KASPER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2207 BOSTON RD
Mailing Address - Street 2:
Mailing Address - City:WILBRAHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01095
Mailing Address - Country:US
Mailing Address - Phone:413-599-1201
Mailing Address - Fax:413-596-2940
Practice Address - Street 1:2207 BOSTON RD
Practice Address - Street 2:
Practice Address - City:WILBRAHAM
Practice Address - State:MA
Practice Address - Zip Code:01095-1155
Practice Address - Country:US
Practice Address - Phone:413-599-1201
Practice Address - Fax:413-596-2940
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA1599952080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
24886OtherHEALTH NEW ENGLAND
000000008139OtherBOSTON MED CENTER HLTHNET
975889OtherNETWORK HEALTH
MA3197999Medicaid
159995OtherCONNECTICARE
2222545OtherAETNA/USHC
353452OtherHEALTHSOURCE MA,NH
J21324OtherBCBS
102263OtherCIGNA
159995OtherTUFTS
28148OtherCHILDREN MEDICAL SEC PLAN
010159995MA01OtherANTHEM BCBS
159995OtherMA LICENSE
202120OtherHARVARD PILGRIM
1240875OtherUNITED HEALTHCARE
1240875OtherUNITED HEALTHCARE
MA3197999Medicaid