MS. MELANIE J KIROUAC


Address: 21 Dwight Road, Suite 105, Longmeadow, MA 01106
Phone: 4137945600

MS. MELANIE J KIROUAC (NPI# 1396733671) 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) 1396733671
Entity Type Individual
Full Name MS. MELANIE J KIROUAC
Other Name MS. MELANIE J KRUPA
Credential PA
Practice Address 21 Dwight Road
Suite 105
Longmeadow
MA 01106
Mailing Address 280 Chestnut Street
2nd Floor
Springfield
MA 01199-1001
Practice Telephone 4137945600
Practice Fax Number 4137942733
Mailing Telephone 4137945700
Enumeration Date 2005-10-11
Last Update Date 2019-11-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA1772 MA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
73 Russell Rd, Huntington, MA 01050 4136673009

Office Location

Street Address 21 DWIGHT ROAD
SUITE 105
City LONGMEADOW
State MA
Zip Code 01106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043215841 Jonathan R Moldover Physical Medicine & Rehabilitation 21 Dwight Road, Ste 104, Longmeadow, MA 01106 2005-06-17
1275036683 Jeffrey Lawrence Hammond Nurse Practitioner 21 Dwight Road, Suite 104, Longmeadow, MA 01106 2018-03-12
1508376849 Pamela Jenner Jeppson Physician Assistant 21 Dwight Road, Suit 105, Longmeadow, MA 01106 2017-09-30
1427456953 Malgorzata Platz Nurse Practitioner 21 Dwight Road, Longmeadow, MA 01106 2014-12-16
1073914842 Erin Mary Ferraro Nurse Practitioner 21 Dwight Road, Suite 104, Longmeadow, MA 01106 2014-09-11
1255638185 Saad Wasiq Usmani Internal Medicine 21 Dwight Road, Suite 104, Longmeadow, MA 01106 2011-02-11
1881819209 Grace Albert Physician Assistant 21 Dwight Road, Suite 104, Longmeadow, MA 01106 2007-04-13
1326111634 Rosette Perseveranda Odulio Internal Medicine 21 Dwight Road, Suite 104, Longmeadow, MA 01106 2006-11-16
1992889992 Robin Gottlieb Physical Medicine & Rehabilitation 21 Dwight Road, Suite 105, Longmeadow, MA 01106 2006-10-25
1346335320 Barry M Rodstein Physical Medicine & Rehabilitation 21 Dwight Road, Suite 105, Longmeadow, MA 01106 2006-10-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831797646 Paula Arrigg Counselor 175 Dwight Road, Longmeadow, MA 01106 2020-10-14
1003429010 Optimal Therapy Solutions, LLC Clinic/Center 127 Bel Air Drive, Longmeadow, MA 01106 2020-08-28
1164840666 Erin Feller Pediatrics 123 Dwight Rd., Longmeadwod, MA 01106 2014-04-01
1255611299 Christina Rose Lalime Community Health Worker 206 Bel Air Dive, Longmeadow, MA 01106 2011-08-22
1851503742 Andrew M. Oxman Counselor 1200 Converse Street, Longmeadow, MA 01106 2007-05-04
1093833048 Lilly Gaev Social Worker Therapeutic Associates PC, 167 Dwight Rd #104, Longmeadow, MA 01106 2007-03-27
1093840530 Julie A Cox Psychologist 167 Dwight Rd #104, Therapeutic Associates PC, Longmeadow, MA 01106 2007-02-23
1932252897 Karen Elizabeth Marsian Podiatrist 123 Dwight Road, Suite 13 W1, Longmeadow, MA 01106 2007-01-22
1386700227 Visions of Longmeadow Eyewear Supplier (Equipment, not the service) 471 Longmeadow Street, Visions of Longmeadow, Longmeadow, MA 01106 2006-12-28
1437226701 Richard T. Longo Psychologist 167 Dwight Road, Suite #104, Longmeadow, MA 01106 2006-11-29
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891319570 Nathan Philip Byrne Physician Assistant 460 Bliss Rd, Longmeadow, MA 01106-1548 2020-05-29
1467969972 Jacob Freeman Physician Assistant 21 Dwight Rd Ste 104, Longmeadow, MA 01106-1765 2018-01-05
1508376849 Pamela Jenner Jeppson Physician Assistant 21 Dwight Road, Suit 105, Longmeadow, MA 01106 2017-09-30
1346779154 Tiffany Le Physician Assistant 21 Dwight Rd Ste 104, Longmeadow, MA 01106-1765 2017-06-06
1881819209 Grace Albert Physician Assistant 21 Dwight Road, Suite 104, Longmeadow, MA 01106 2007-04-13
1225071657 Sharon M Woods Physician Assistant 21 Dwight Road, Suite 105, Longmeadow, MA 01106 2006-06-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740897024 Eoin Moriarty Physician Assistant 99 Merryknoll Rd, Weymouth, MA 02191-2020 2020-09-30
1942812334 Manacey Clermont Physician Assistant 21 Robinson Rd, Woburn, MA 01801-6136 2020-08-18
1801411756 Kimberly Marques Physician Assistant 3 Medeiros Farm Rd, Seekonk, MA 02771-2029 2020-06-16
1821613548 Emily Reynolds Physician Assistant 7 Blood Rd, Charlton, MA 01507-5128 2020-06-09
1275155590 Makenna Camara Physician Assistant 249 Hixville Rd, North Dartmouth, MA 02747-1937 2020-05-08
1720608912 John Eastman Physician Assistant 243b Savin Hill Ave, Boston, MA 02125-1003 2020-04-17
1871122168 Alexandra Emmanuelle Rochman Physician Assistant 54 W Crystal Brook Dr, Springfield, MA 01118-1946 2020-04-07
1366074122 Heather Kirby Physician Assistant 264 Fowler Rd, Westfield, MA 01085-4013 2020-02-10
1639712011 Joseph John Milos Physician Assistant 201 Carlson Ln, West Barnstable, MA 02668-1224 2019-10-18
1912558321 Rafael Rondeau Physician Assistant 12 Indian Pond Rd, Kingston, MA 02364-2051 2019-09-26
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Competitor

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City LONGMEADOW
Zip Code 01106

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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