MARY KONEFAL (NPI# 1366826885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366826885 |
Entity Type | Individual |
Full Name | MARY KONEFAL |
Credential | PA-C |
Practice Address |
305 Bicentennial Hwy Springfield MA 01118-1962 |
Practice Telephone | 4137334101 |
Mailing Telephone | 4137334101 |
Enumeration Date | 2015-07-14 |
Last Update Date | 2015-07-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA5424 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
305 BICENTENNIAL HWY |
City | SPRINGFIELD |
State | MA |
Zip Code | 01118-1962 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174512735 | Hyoungsup Park | Family Medicine | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2005-10-17 |
1952948176 | Alireza Jarihi | Nurse Practitioner | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2019-12-06 |
1366925919 | Christopher Brian Cooper | Physician Assistant | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2018-09-10 |
1821401225 | Sarah Morrissey | Obstetrics & Gynecology | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2014-06-04 |
1194078329 | Mary Catherine Carpenter | Registered Nurse | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2012-10-25 |
1275891822 | Elizabeth Anne Rottenberg | Obstetrics & Gynecology | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2012-05-01 |
1508143231 | Teresa Anne Svart | Nurse Practitioner | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2011-11-09 |
1396039343 | Jennifer J Piel | Internal Medicine | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2011-06-07 |
1306137906 | Kyle W Bruce | Podiatrist | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2011-04-29 |
1467742924 | Michelle A Connor | Advanced Practice Midwife | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2011-04-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376061036 | Elizabeth Light | Social Worker | 211 S Branch Pkwy, Springfield, MA 01118 | 2017-09-01 |
1336507300 | Carla Vieu | Counselor | 25 Pebblemill Rd, Springfield, MA 01118 | 2016-02-05 |
1811309172 | Kristin Espinosa | Counselor | 1325 Allen St, Springfield, MA 01118 | 2014-05-21 |
1578903969 | Erica Begley | Social Worker | 51 Wexford Street, Springfield, MA 01118 | 2013-06-28 |
1568761260 | David Stuart Bloomberg | Pharmacist | 126 Island Pond Road, Springfield, MA 01118 | 2011-03-21 |
1376665554 | Robins Eyecare, LLC | Optometrist | 1268 Sumner Ave., Springfield, MA 01118 | 2007-04-06 |
1821163312 | Mary Ann Celentano | Optometrist | 305 Bicentennial Highway, Springfield, MA 01118 | 2006-11-21 |
1508951054 | Marcus Anthony Lopez | Dentist | 1235 Sumner Ave, Springfield, MA 01118 | 2006-10-03 |
1588622070 | David J Doyle | Emergency Medicine | 1515 Allen Street, Springfield, MA 01118 | 2006-05-03 |
1093773814 | Christine A Sickle | Pediatrics | 1515 Allen St, Suite B, Sumner Pediatrics, PC, Springfield, MA 01118 | 2006-05-02 |
Find all providers in zip 01118 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871122168 | Alexandra Emmanuelle Rochman | Physician Assistant | 54 W Crystal Brook Dr, Springfield, MA 01118-1946 | 2020-04-07 |
1740740737 | Western New England University | Physician Assistant | 215 Wilbraham Road, Springfield, MA 01119 | 2019-03-25 |
1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
1770850216 | Lauren Jennifer Navas | Physician Assistant | 100 River St Ste 2, Springfield, VT 05156-2930 | 2011-11-29 |
1295885168 | Jacqueline Kernaghan | Physician Assistant | 723 Saxer Ave, Springfield, PA 19064-3503 | 2007-01-11 |
1295746733 | Gwen Wright | Physician Assistant | 194 W Sproul Rd, Suite 105, Springfield, PA 19064-2027 | 2006-08-10 |
1164490710 | Stacie L Pierce | Physician Assistant | 3721 W El Castile St, Springfield, MO 65807-5431 | 2006-03-09 |
1245206432 | Annette K Bates | Physician Assistant | 819 Worcester St Ste 3, Springfield, MA 01151-1056 | 2006-02-27 |
1518947159 | Louis Patrick Favata | Physician Assistant | 140 High St., Springfield, MA 01199 | 2006-01-19 |
1649257031 | Scott D Rubin | Physician Assistant | 3400 Main Street, Springfield, MA 01107-1113 | 2005-12-27 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 01118 |
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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.