Healthcare Provider Details

I. General information

NPI: 1417902313
Provider Name (Legal Business Name): RICHARD SAUPE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 NORTH ST ANESTHESIA DEPARTMENT
PITTSFIELD MA
01201-4109
US

IV. Provider business mailing address

60 DEER HILL RD
RICHMOND MA
01254-5265
US

V. Phone/Fax

Practice location:
  • Phone: 413-447-2555
  • Fax: 413-447-2889
Mailing address:
  • Phone: 413-698-3502
  • Fax: 413-447-2889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number0420010760
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number230405
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: