MATTHEW W MUSCO (NPI# 1922308147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922308147 |
| Entity Type | Individual |
| Full Name | MATTHEW W MUSCO |
| Credential | P.A. |
| Practice Address |
435 Lewis Ave Meriden CT 06451-2101 |
| Practice Telephone | 2036948200 |
| Mailing Telephone | 2036948200 |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2501 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
435 LEWIS AVE |
| City | MERIDEN |
| State | CT |
| Zip Code | 06451-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972595874 | Dean John Mariano | Anesthesiology | 435 Lewis Ave, Suite 101, Meriden, CT 06451-2101 | 2005-08-17 |
| 1700405149 | Megan Elizabeth Ganzenmuller | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2020-04-15 |
| 1588290613 | Isabel Nodiff | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2020-03-20 |
| 1396394722 | Barbara J Spremullo | Nurse Practitioner | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-09-09 |
| 1538715883 | Matthew Decaprio | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-08-13 |
| 1831741347 | Kelly Ann Meenan | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-07-15 |
| 1417414038 | Max Pianka | Nurse Practitioner | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-03-01 |
| 1114482882 | Nems Pllc | Emergency Medicine | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-02-06 |
| 1023597028 | Anthony Joseph Boguslawski | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2018-08-09 |
| 1285111443 | Melissa Alvarez | Registered Nurse | 435 Lewis Ave, Meriden, CT 06451-2101 | 2018-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225490055 | Great Hills LLC | Pharmacy | 152 Colony St Unit A, Meriden, CT 06451 | 2016-03-22 |
| 1659695344 | Dr. Bertolli Od & Associates LLC | Optometrist | 470 Lewis Avenue, C/o Sears Optical, Meriden, CT 06451 | 2010-03-24 |
| 1205086733 | Michelle Lavallee Dagostine | Psychiatry & Neurology | 455 Lewis Ave., Suite 221, Meriden, CT 06451 | 2008-09-20 |
| 1538212857 | Meriden Surgical Supply Inc | Prosthetic/Orthotic Supplier | 170 West Main Street, Meriden, CT 06451 | 2007-01-19 |
| 1922036920 | Lisa M Marvin Smith | Nurse Practitioner | 26 Womens Way, Meriden, CT 06451 | 2006-06-29 |
| 1235599333 | Mcm Dental, LLC | Dentist | 74 Main Street, Lakewood, CT 06451 | 2016-03-02 |
| 1790035186 | Jona Lesage Maloney | Music Therapist | 122 Windsor Ave, 2nd Floor, Meriden, CT 06451 | 2012-09-13 |
| 1144522160 | Community Renewal Team Inc. | Case Management | 675 Tower Ave, Hartford, CT 06451 | 2010-11-23 |
| 1760681639 | Mark Steven Schaner | Internal Medicine | 435 Lewis Avenue, Meriden, CT 06451 | 2007-07-12 |
| 1043371115 | Eugene Robert Bertolli | Optometrist | 470 Lewis Ave, C/o Sears Optical, Meriden, CT 06451 | 2006-12-13 |
| Find all providers in zip 06451 | ||||
| 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 |
|---|---|---|---|---|
| 1750991303 | Lana Chapman | Physician Assistant | 289 Curtis St Apt 2, Meriden, CT 06450-5910 | 2020-08-07 |
| 1801352133 | Nicolas Antico | Physician Assistant | 90 Cynrose Pl, Meriden, CT 06451-2772 | 2019-02-12 |
| 1043394083 | Christina A Plantier | Physician Assistant | 61 Pomeroy Ave, Meriden, CT 06450-7101 | 2006-10-25 |
| 1700405149 | Megan Elizabeth Ganzenmuller | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2020-04-15 |
| 1952956211 | Sara Frances Boudreau | Physician Assistant | 816 Broad St Ste 24, Meriden, CT 06450-4350 | 2019-08-05 |
| 1831741347 | Kelly Ann Meenan | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-07-15 |
| 1023597028 | Anthony Joseph Boguslawski | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2018-08-09 |
| 1700372356 | Anne Elizabeth Carlson | Physician Assistant | 816 Broad St, Meriden, CT 06450-4350 | 2018-07-06 |
| 1831683523 | Trisha Kowalski | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2018-06-18 |
| 1912428202 | Brad Petitti | Physician Assistant | 61 Pomeroy Ave, Meriden, CT 06450-7482 | 2017-06-28 |
| Find all providers in MERIDEN | ||||
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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.