NONNA KHACHIYAN (NPI# 1073677498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073677498 |
| Entity Type | Individual |
| Full Name | NONNA KHACHIYAN |
| Credential | PA-C |
| Practice Address |
11 Mason Rd Watertown MA 02472-3314 |
| Practice Telephone | 6179393930 |
| Mailing Telephone | 6179393930 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2008-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2209 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11 MASON RD |
| City | WATERTOWN |
| State | MA |
| Zip Code | 02472-3314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735327 | Gladys Nakungu Kasansula | Counselor | Square Medical Group, 124 Watertown Street, Suite 2d, Watertown, MA 02472 | 2018-10-09 |
| 1447741962 | Hannah Edward | Optometrist | 550 Arsenal Street, Watertown, MA 02472 | 2018-05-21 |
| 1982193504 | Ruth Audrey Silverstein | Social Worker | Perkins School for The Blind, 175 North Beacon Street, Watertown, MA 02472 | 2018-05-09 |
| 1376067355 | Mostafa Medhati | Acupuncturist | 265 Lexington St., Watertown, MA 02472 | 2017-08-01 |
| 1003346313 | Eric Trant | Specialist/Technologist | 50 Columbia Street, Watertown, MA 02472 | 2017-06-19 |
| 1477007730 | Neangkanika Chea | Nurse Practitioner | 2 Repton Place, Apt 2204, Watertown, MA 02472 | 2016-08-04 |
| 1396128120 | Michelle Soares Darocha | Dentist | 18 Hovey Street, Watertown, MA 02472 | 2015-06-29 |
| 1760875496 | Ece Evin Yildirim | Acupuncturist | 557 Mt. Auburn St, Watertown, MA 02472 | 2015-03-05 |
| 1396140927 | Fabrizia Torazzi | Behavioral Analyst | 51 Water Street, Suite 200, Watertown, MA 02472 | 2014-10-24 |
| 1265774392 | Emilia Ann Fulop | Social Worker | 127 North Beacon Street, Watertown, MA 02472 | 2013-03-27 |
| Find all providers in zip 02472 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961765 | Samantha Jewers | Physician Assistant | 20 California Park, Watertown, MA 02472-2517 | 2020-08-03 |
| 1134757743 | Hira Bakshi | Physician Assistant | 295 Barben Ave, Watertown, NY 13601-4501 | 2020-03-30 |
| 1538795661 | Stephen Robinson | Physician Assistant | 26076 Liberty Ave, Watertown, NY 13601-5910 | 2020-03-20 |
| 1730695941 | Razi Odean Mirshahi | Physician Assistant | 183 Mount Auburn St Apt 46, Watertown, MA 02472-4012 | 2017-12-26 |
| 1790111797 | Marisa Hamlin | Physician Assistant | 22670 Summit Dr Bldg 6, Watertown, NY 13601-7208 | 2013-09-23 |
| 1639476260 | Kell T Giffin | Physician Assistant | 930 Holcomb St, Watertown, NY 13601-4228 | 2011-02-17 |
| 1306068812 | Mountain Medical of Watertown | Physician Assistant | 457 Gaffney Dr, Watertown, NY 13601 | 2007-05-03 |
| 1528167277 | Mark Andrew Knowles | Physician Assistant | 457 Gaffney Drive, Watertown, NY 13601-1834 | 2006-09-21 |
| 1336167709 | Michelle Lynne Boulton | Physician Assistant | 171 E. Hoard Street, Watertown, NY 13601-1515 | 2006-07-17 |
| 1437191277 | Steven D Tiernan | Physician Assistant | 22670 Summit Dr, Ste 3, Watertown, NY 13601-7208 | 2006-06-12 |
| Find all providers in WATERTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.