PIONEER VALLEY PLASTIC SURGERY LLC


Address: 100 Wason Ave, Suite 360, Springfield, MA 01107-1119
Phone: 4137317877

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
Allopathic & Osteopathic Physicians

Office Location

Street Address 100 WASON AVE
SUITE 360
City SPRINGFIELD
State MA
Zip Code 01107-1119

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City SPRINGFIELD
Zip Code 01107

Improve Information

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Dataset Information

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.

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