JAMIE LYNN RACCOSTA (NPI# 1790347581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790347581 |
| Entity Type | Individual |
| Full Name | JAMIE LYNN RACCOSTA |
| Credential | PA-C |
| Practice Address |
200 Center St Ste 18 Ludlow MA 01056-2875 |
| Practice Telephone | 4135897176 |
| Practice Fax Number | 4135897710 |
| Mailing Telephone | 8452402168 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-11-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 68 Wright Blvd, Hopewell Junction, NY 125335148 | 8452402168 |
| Street Address |
200 CENTER ST STE 18 |
| City | LUDLOW |
| State | MA |
| Zip Code | 01056-2875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992207997 | Shannon Kurzeski | Nurse Practitioner | 77 Winsor Street - Ludlow Pediatrics, Ludlow, MA 01056 | 2018-03-06 |
| 1811412653 | Melany Ann Picard | Behavior Technician | 87 Ridgeview Circle, Ludlow, MA 01056 | 2017-08-12 |
| 1588981617 | Lindsay Beth Milligan | Physician Assistant | 627 Randall Road, Hampden County Correctional Center, Health Services, Ludlow, MA 01056 | 2010-04-29 |
| 1285874271 | Steve J. Mcdaniel D.d.s. PC | Dentist | 534 Center Street, Ludlow, MA 01056 | 2009-03-03 |
| 1710138813 | Margaret Ann Denby | Nurse Practitioner | 627 Randall Rd., Ludlow, MA 01056 | 2008-10-07 |
| 1285739276 | Pathology Diagnostic Services P.C. | Pathology | 377 Woodland Circle, Ludlow, MA 01056 | 2006-09-14 |
| 1295759876 | Joseph F Wegiel | Dentist | 257 Kendall St, Ludlow, MA 01056 | 2006-07-27 |
| 1972580306 | Lois C Albury | Internal Medicine | 14 Chestnut Place, Ludlow, MA 01056 | 2005-12-28 |
| 1720064983 | Ann Maria Labar Elder | Internal Medicine | 222 State St, Ludlow, MA 01056 | 2005-12-20 |
| 1922094762 | Mohammad U Qayyum | Psychiatry & Neurology | 77 Winsor St, Ste 101, Ludlow, MA 01056 | 2005-09-27 |
| Find all providers in zip 01056 | ||||
| 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 |
|---|---|---|---|---|
| 1932693991 | Christopher Robert Patenaude | Physician Assistant | 185 West Ave Ste 301, Ludlow, MA 01056-1739 | 2018-06-21 |
| 1588981617 | Lindsay Beth Milligan | Physician Assistant | 627 Randall Road, Hampden County Correctional Center, Health Services, Ludlow, MA 01056 | 2010-04-29 |
| 1144847286 | Christopher Rumplik | Physician Assistant | 222 State St, Ludlow, MA 01056-3437 | 2020-07-05 |
| 1427606490 | Ashley N Nichols | Physician Assistant | 1 Elm St, Ludlow, VT 05149-1301 | 2019-09-03 |
| 1780243956 | Elizabeth Ortiz | Physician Assistant | 185 West Ave Ste 301, Ludlow, MA 01056-1739 | 2019-06-11 |
| 1891281564 | Kira Isenberg | Physician Assistant | 200 Center Street, Ludlow, MA 01056 | 2018-07-06 |
| 1306213459 | Anna Paula Rego | Physician Assistant | 200 Center St, Ludlow, MA 01056-2772 | 2015-08-25 |
| 1750687778 | Jill C Patruno | Physician Assistant | 200 Center St, 200 Center Street, Ludlow, MA 01056-2772 | 2011-02-09 |
| 1215258041 | Christine Gura Niedbala | Physician Assistant | 200 Center St, Ludlow, MA 01056-2772 | 2010-06-16 |
| 1487627899 | John E Cassidy | Physician Assistant | 1 Elm St, Ludlow, VT 05149-1301 | 2006-02-08 |
| Find all providers in LUDLOW | ||||
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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.