Steven D Nguyen (NPI# 1932488152, PAC ID# 0446505044) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1932488152 |
| PAC ID by PECOS | 0446505044 |
| Professional Enrollment ID | I20180622001871 |
| Full Name | Steven D Nguyen |
| Organization Legal Name | FACIAL COSMETIC AND MAXILLOFACIAL SURGERY P.C. |
| Address |
382 N Main St Suite 202 East Longmeadow MA 01028-1830 |
| Phone Number | 4135250100 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Secondary Specialties | ORAL SURGERY |
| Group Practice PAC ID | 3072584853 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220077 | BAYSTATE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 382 N Main St, Suite 202, East Longmeadow, MA 01028-1830 | 4135250100 | FACIAL COSMETIC AND MAXILLOFACIAL SURGERY P.C. |
| Organization Legal Name | FACIAL COSMETIC AND MAXILLOFACIAL SURGERY P.C. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Jay Spink | Maxillofacial Surgery | Facial Cosmetic and Maxillofacial Surgery P.C. | 382 N Main St, Suite 202, East Longmeadow, MA 01028-1830 |
| Max Kernizan | Oral Surgery | Facial Cosmetic and Maxillofacial Surgery P.C. | 382 N Main St, Suite 202, East Longmeadow, MA 01028-1830 |
| Richard J Fraziero | Maxillofacial Surgery | Facial Cosmetic and Maxillofacial Surgery P.C. | 382 N Main St, Suite 202, East Longmeadow, MA 01028-1830 |
| Street Address |
382 N MAIN ST SUITE 202 |
| City | EAST LONGMEADOW |
| State | MA |
| Zip | 01028-1830 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Jay Spink | Maxillofacial Surgery | Facial Cosmetic and Maxillofacial Surgery P.C. | 382 N Main St, Suite 202, East Longmeadow, MA 01028-1830 |
| Larry A Litscher | Ophthalmology | Andrew S Jusko Md PC | 382 N Main St, Suite 101, East Longmeadow, MA 01028-1830 |
| Max Kernizan | Oral Surgery | Facial Cosmetic and Maxillofacial Surgery P.C. | 382 N Main St, Suite 202, East Longmeadow, MA 01028-1830 |
| Christopher M Symolon | Optometry | Andrew S Jusko Md PC | 382 N Main St, Suite 101, East Longmeadow, MA 01028-1830 |
| William Derr | Optometry | Andrew S Jusko Md PC | 382 N Main St, Suite 101, East Longmeadow, MA 01028-1830 |
| Richard J Fraziero | Maxillofacial Surgery | Facial Cosmetic and Maxillofacial Surgery P.C. | 382 N Main St, Suite 202, East Longmeadow, MA 01028-1830 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Verner | Clinical Social Worker | 280 N Main St, Suite 7, East Longmeadow, MA 01028-1814 | |
| Anthony L Sarage | Podiatry | Western Massachusetts Podiatry Associates, P.C. | 264 N Main St, East Longmeadow, MA 01028-1815 |
| Ricardo Mujica | Geriatric Psychiatry | 264 N Main St, Suite 1a, E Longmeadow, MA 01028-1815 | |
| Evan P Cwass | Podiatry | Western Massachusetts Podiatry Associates, P.C. | 264 N Main St, East Longmeadow, MA 01028-1815 |
| Cynthia A Kennedy | Nurse Practitioner | Baystate Ob/gyn Group Inc | 382 No Main St, Suite 205, E Longmeadow, MA 01028-1830 |
| Phuong L Do | Clinical Social Worker | 264 N Main St, Suite 10, East Longmeadow, MA 01028-1837 | |
| Laura M Iglesias Lino | Geriatric Medicine | Baystate Medical Practices Inc | 294 N Main St, East Longmeadow, MA 01028-1838 |
| Eckart Sachsse | Diagnostic Radiology | Radiology and Imaging, Inc. | 294 N Main St, Suite 103, East Longmeadow, MA 01028-1847 |
| James P Polga | Diagnostic Radiology | Radiology and Imaging, Inc. | 294 N Main St, Suite 103, East Longmeadow, MA 01028-1847 |
| David E March | Diagnostic Radiology | Radiology and Imaging, Inc. | 294 N Main St, Suite 103, East Longmeadow, MA 01028-1847 |
| Find all physicians in zip 01028 | |||
| City | EAST LONGMEADOW |
| Zip Code | 01028 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | EAST LONGMEADOW + MAXILLOFACIAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.