MARK P BOMBARDIER (NPI# 1043738131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043738131 |
| Entity Type | Individual |
| Full Name | MARK P BOMBARDIER |
| Credential | PA |
| Practice Address |
48 Sanderson St Greenfield MA 01301-2778 |
| Mailing Address |
280 Chestnut St Fl 2 Springfield MA 01199-1001 |
| Practice Telephone | 4137732220 |
| Practice Fax Number | 4137332567 |
| Mailing Telephone | 4137943909 |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2019-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA6282 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
48 SANDERSON ST |
| City | GREENFIELD |
| State | MA |
| Zip Code | 01301-2778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952395766 | Rose Larositiere Cesar | Internal Medicine | 48 Sanderson St, 2nd Lf, Greenfield, MA 01301-2778 | 2005-09-07 |
| 1467012179 | Megan Mcwherter | Nurse Practitioner | 48 Sanderson St, Greenfield, MA 01301-2778 | 2019-06-14 |
| 1023516119 | Matthew Schultz | Specialist/Technologist | 48 Sanderson St, Greenfield, MA 01301-2778 | 2018-01-24 |
| 1992215206 | Katie Rebecca Temes | Advanced Practice Midwife | 48 Sanderson St, Greenfield, MA 01301-2778 | 2017-10-02 |
| 1588033971 | Abigail R Vayda | Social Worker | 48 Sanderson St, Greenfield, MA 01301-2778 | 2015-09-16 |
| 1538544143 | Caitlin Clare Miller | Advanced Practice Midwife | 48 Sanderson St, Greenfield, MA 01301-2778 | 2015-07-24 |
| 1740661768 | Nathan J. Macedo | Family Medicine | 48 Sanderson St, Greenfield, MA 01301 | 2015-06-16 |
| 1871985465 | Charity R Sweeney | Specialist/Technologist | 48 Sanderson St, Greenfield, MA 01301-2778 | 2015-02-19 |
| 1285040766 | Cameron Jay Puls | Physical Therapist | 48 Sanderson St, Rehab Department, Greenfield, MA 01301-2778 | 2014-07-07 |
| 1033535133 | Kiersten Revord | Physician Assistant | 48 Sanderson St, Greenfield, MA 01301-2778 | 2014-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467076786 | Amber Marie Ortiz | Social Worker | 265 Federal Street, Apartment #3, Greenfield, MA 01301 | 2020-06-02 |
| 1215405238 | Laurel Crommett | Social Worker | 79 Silver St, Greenfield, MA 01301 | 2018-11-07 |
| 1477071090 | Hannah Margaret Pachalis | Dental Hygienist | 55 Federal St Ste240, Greenfield, MA 01301 | 2017-09-04 |
| 1457890964 | Caitlin Susanne Reed | Counselor | One Arch Place Second Floor, Center for Community Resilience After Trauma, Greenfield, MA 01301 | 2017-02-16 |
| 1548717036 | Merl Gray | Counselor | 1 Arch Street, #1, Greenfield, MA 01301 | 2016-09-01 |
| 1154877710 | Clinical & Support Oprtions | Respite Care | 1 Arch Street #1, Greenfield, MA 01301 | 2016-09-01 |
| 1104299668 | Karli Sacco | Occupational Therapist | 130 Colrain Road, Greenfield, MA 01301 | 2015-11-05 |
| 1750759239 | Richard H. Orton | Counselor | 28 High St., Green Valley Counseling, Greenfield, MA 01301 | 2015-09-14 |
| 1609265768 | Kelly Broadway | Counselor | One Arch Place, 2nd Floor, Greenfield, MA 01301 | 2015-01-13 |
| 1184061327 | David Mancuso | Social Worker | 131 French King Highway, Work, Greenfield, MA 01301 | 2013-05-29 |
| Find all providers in zip 01301 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033535133 | Kiersten Revord | Physician Assistant | 48 Sanderson St, Greenfield, MA 01301-2778 | 2014-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627106 | Taia Maria Tieland | Physician Assistant | 9 Hunting St Apt 1, Cambridge, MA 02141-1010 | 2020-07-24 |
| 1003434275 | Antonious Jonah Abraham | Physician Assistant | 99 Corn Rd, Bolton, MA 01740-1055 | 2020-07-13 |
| 1407479272 | Mackenzie Malcolm Gray | Physician Assistant | 35 Pynchon Rd, Holyoke, MA 01040-1514 | 2020-05-27 |
| 1780235333 | Emily Fregeau | Physician Assistant | 1 Canal St Unit 518, Boston, MA 02114-2053 | 2019-09-25 |
| 1992369524 | Jaclyn Hynes | Physician Assistant | 234 Otis St, Hingham, MA 02043-4504 | 2019-04-29 |
| 1376002931 | Jack City, LLC | Physician Assistant | 290 Pleasant St Apt 212, Watertown, MA 02472-2429 | 2019-03-13 |
| 1578021911 | Ashley Piemonte | Physician Assistant | 15 1/2 Russell St Apt 1, Charlestown, MA 02129-2492 | 2019-03-05 |
| 1407323686 | Nicole Burke Tingley | Physician Assistant | 123 Summer St Ste 277, Worcester, MA 01608-1216 | 2018-10-25 |
| 1386111706 | Nicole Laura Solman | Physician Assistant | 16 Deerhaven Rd, Lincoln, MA 01773-1806 | 2018-10-24 |
| 1881160943 | Philip Apraku Bondzie | Physician Assistant | 266 Sportsmans Trl, Whitman, MA 02382-1726 | 2018-10-16 |
| Find all providers with the same taxonomy | ||||
| City | GREENFIELD |
| Zip Code | 01301 |
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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.