MR. JON MICHAEL CHAMPAGNE (NPI# 1376098483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376098483 |
| Entity Type | Individual |
| Full Name | MR. JON MICHAEL CHAMPAGNE |
| Credential | PA-C |
| Practice Address |
30 Avon St Apt 1 Somerville MA 02143-1602 |
| Practice Telephone | 4794091310 |
| Mailing Telephone | 4794091310 |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA5842 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
30 AVON ST APT 1 |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02143-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843598 | Sidney Marie Joines | Counselor | New Washington St, Somerville, MA 02143 | 2020-08-26 |
| 1487295887 | Tejasvini Goud Jangam | Dentist | 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 | 2019-10-07 |
| 1265900658 | Latoya Lewis | Massage Therapist | 343 Medford Street Suite 4b, Somerville, MA 02143 | 2018-11-05 |
| 1982181053 | Robert Lafollette | Social Worker | 61 Inner Belt Rd, Somerville, MA 02143 | 2018-07-23 |
| 1013405471 | Roseli De Fatima Schimanski | Acupuncturist | 10 Clark St #3, Somerville, MA 02143 | 2018-05-01 |
| 1255840070 | Maggie Kinser | Counselor | 366 Somerville Avenue, Somerville, MA 02143 | 2017-09-25 |
| 1497273742 | Isabelle Hackett | Social Worker | 17 Inner Belt Rd, Somerville, MA 02143 | 2017-09-07 |
| 1952824666 | Manuel Cantu | Counselor | 17 Inner Belt Road, Somerville, MA 02143 | 2017-07-25 |
| 1649710963 | Shakemia Shaw | Licensed Practical Nurse | 230 Highland Avenue, Somerville, MA 02143 | 2017-03-06 |
| 1245600501 | Libby Vilner | Social Worker | 12 Tyler St., Somerville, MA 02143 | 2015-09-30 |
| Find all providers in zip 02143 | ||||
| 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 |
|---|---|---|---|---|
| 1760080378 | Jason Lee | Physician Assistant | 42 Electric Ave, Somerville, MA 02144-1604 | 2020-10-15 |
| 1891319315 | Taylor Lewis | Physician Assistant | 333 Great River Rd Apt 407, Somerville, MA 02145-1222 | 2020-06-01 |
| 1891318358 | Alexandra Brett Millard | Physician Assistant | 12 Linden Pl, Somerville, MA 02143-2256 | 2020-05-19 |
| 1972140572 | Hannah Kathryn Stackpole | Physician Assistant | 44 Russell Rd Apt 1, Somerville, MA 02144-1514 | 2019-12-03 |
| 1003288572 | Claire Wan | Physician Assistant | 57 Montrose St # 1, Somerville, MA 02143-1212 | 2015-10-23 |
| 1518108067 | Lauren Douglas | Physician Assistant | 600 Memory Ln, Somerville, TX 77879 | 2009-03-12 |
| 1255375044 | Jean Jorgensen | Physician Assistant | Somerset Medical Center, 110 Rehill Avenue, Somerville, NJ 08876 | 2006-06-15 |
| 1225095607 | Jason R Jannicelli | Physician Assistant | 110 Rehill Ave # 08876, Somerville, NJ 08876-2519 | 2006-04-28 |
| 1821621202 | Salma Haj-ibrahim | Physician Assistant | 56 Union Ave, Somerville, NJ 08876-2000 | 2020-02-13 |
| 1558905281 | Aashika Govani | Physician Assistant | 110 Rehill Ave, Somerville, NJ 08876-2519 | 2019-11-06 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02143 |
Please comment or provide details below to improve the information on MR. JON MICHAEL CHAMPAGNE.
| 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.