PIONEER VALLEY PLASTIC SURGERY LLC (NPI# 1366762932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366762932 |
Entity Type | Organization |
Organization Name | PIONEER VALLEY PLASTIC SURGERY LLC |
Practice Address |
100 Wason Ave Suite 360 Springfield MA 01107-1119 |
Practice Telephone | 4137317877 |
Mailing Telephone | 4137317877 |
Enumeration Date | 2010-06-07 |
Last Update Date | 2010-06-07 |
Authorized Official Name | MELISSA A JOHNSON (MEMBER) |
Authorized Official Telephone | 4137317877 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
Street Address |
100 WASON AVE SUITE 360 |
City | SPRINGFIELD |
State | MA |
Zip Code | 01107-1119 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801893359 | Amado Ramos Munson | Physician Assistant | 100 Wason Ave, Suite 120, Springfield, MA 01107-1381 | 2005-06-30 |
1972089597 | Roksolana V Voshchilo | Audiologist | 100 Wason Ave, Springfield, MA 01107-1381 | 2018-07-17 |
1184179517 | Renal and Transplant Associates of New England, PC | Transplant Surgery | 100 Wason Ave, Ste 200, Springfield, MA 01107-1381 | 2016-08-15 |
1235535204 | Renal and Transplant Associates of New England PC | Transplant Surgery | 100 Wason Ave, Suite 200, Springfield, MA 01107-1381 | 2014-11-18 |
1063823193 | Hendy Bulter Jean | Internal Medicine | 100 Wason Ave, Springfield, MA 01107-1381 | 2014-05-12 |
1033546643 | Lisa Ann Salisbury | Physician Assistant | 100 Wason Ave, Suite 120, Springfield, MA 01107-1381 | 2013-09-27 |
1548576135 | Laurette Lynn Patten | Nurse Practitioner | 100 Wason Ave, 230, Springfield, MA 01107-1179 | 2010-08-20 |
1316265622 | Lauren Busekroos | Otolaryngology | 100 Wason Ave, Suite 100, Springfield, MA 01107-1381 | 2010-05-11 |
1275865131 | Hemant Magoo | Internal Medicine | 100 Wason Ave, Suite 200, Springfield, MA 01107-1381 | 2010-02-03 |
1578733457 | Kevin Patrick Asher | Urology | 100 Wason Ave, Suite 120, Springfield, MA 01107-1381 | 2008-03-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
Find all providers in zip 01107 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871781765 | Andrew J Kochevar | Surgery | 1229 E Seminole St Ste 340, Springfield, MO 65804 | 2007-10-04 |
1780066738 | Timothy Daugherty | Surgery | 747 N Rutledge St, Springfield, IL 62702-6700 | 2015-06-26 |
1730561796 | James Winters | Surgery | 747 N Rutledge St, Springfield, IL 62702-6700 | 2015-06-25 |
1205241221 | Lauren Hutchinson | Surgery | 747 N Rutledge St, Springfield, IL 62702-6700 | 2014-06-28 |
1568881407 | Connor Barnes | Surgery | 3555 S National Ave, Springfield, MO 65807-7310 | 2014-04-08 |
1265743140 | Abigail Maciolek Cochran | Surgery | 2901 Greenbriar Dr, Springfield, IL 62704-6425 | 2010-06-25 |
1881913002 | Steven J Covici Md Facs PC | Surgery | 125 Liberty St, Suite 308, Springfield, MA 01103-1114 | 2010-05-27 |
1689896144 | Erika Henkelman | Surgery | 747 N Rutledge St, Springfield, IL 62702-6700 | 2007-05-03 |
1497977888 | Joel Wietfeldt | Surgery | 2901 Greenbriar Dr, Springfield, IL 62704-6425 | 2007-05-03 |
1851327662 | Bharat Shah | Surgery | 1229 E Seminole St, Springfield, MO 65804-2227 | 2006-06-23 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 01107 |
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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.