CHRISTIN WOLAK (NPI# 1831499383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831499383 |
Entity Type | Individual |
Full Name | CHRISTIN WOLAK |
Credential | PA-C |
Practice Address |
300 Birnie Ave Ste 201 Springfield MA 01107-1121 |
Practice Telephone | 4137854666 |
Mailing Telephone | 4137854666 |
Enumeration Date | 2010-11-01 |
Last Update Date | 2020-02-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
300 BIRNIE AVE STE 201 |
City | SPRINGFIELD |
State | MA |
Zip Code | 01107-1121 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518580513 | Matthew Ernest Girard | Physician Assistant | 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 | 2020-05-26 |
1497308803 | Christopher D'astous | Physician Assistant | 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 | 2019-07-24 |
1750845103 | Melissa E Giovaninni | Physical Therapy Assistant | 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 | 2019-01-29 |
1801306758 | Kimberly Ann Merrill | Physician Assistant | 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 | 2017-10-05 |
1871017889 | Brianna Lawlor | Physician Assistant | 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 | 2017-08-01 |
1578092821 | Casey Lynn Emge | Physician Assistant | 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 | 2017-06-09 |
1619318060 | Alexander Trexler Brothers | Orthopaedic Surgery | 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 | 2013-07-15 |
1376981266 | Michael Brody O'sullivan | Orthopaedic Surgery | 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 | 2013-06-13 |
1174885883 | Connor Ziegler | Orthopaedic Surgery | 300 Birnie Ave Ste 201, Springfield, MA 01107 | 2012-06-10 |
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 Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629592225 | Justin William Starling | Physician Assistant | 1515 Keys Ave, Springfield, IL 62702-2933 | 2017-07-26 |
1710435011 | Alexander Andersen | Physician Assistant | 445 Harlow Rd Ste 200, Springfield, OR 97477-1341 | 2016-09-14 |
1932538980 | Emily Baecher | Physician Assistant | 2 Medical Cetner Dr, Suite 205, Springfield, MA 01199-1619 | 2013-11-09 |
1699114421 | Lauren M Kendall | Physician Assistant | 960 N 16th St Ste 108, Springfield, OR 97477-4175 | 2013-06-14 |
1750660148 | Daniel Francis Reilly Jr. | Physician Assistant | 2 Medical Center Dr Ste 308, Springfield, MA 01107-1271 | 2011-08-16 |
1811200710 | Jessica Anne White | Physician Assistant | 25 Ridgewood Rd., Esne, Springfield, VT 05156 | 2010-07-20 |
1043540669 | Kristen Dawn Dodd | Physician Assistant | 960 N 16th St Ste 207, Springfield, OR 97477-4175 | 2010-01-04 |
1831337765 | Cynthia R. Krinochkin | Physician Assistant | 3801 S. National, 5th Floor, Springfield, MO 65807-5210 | 2009-01-30 |
1578746079 | Jamie Moore | Physician Assistant | 2 Medical Center Drive Suite 503, Springfield, MA 01199-0001 | 2007-12-07 |
1720260581 | Theresa Mae Labrecque | Physician Assistant | 285 Ellendale Cir, Springfield, MA 01128-1148 | 2007-12-03 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 01107 |
Please comment or provide details below to improve the information on CHRISTIN WOLAK.
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.