DR. MICHAEL V TIRABASSI (NPI# 1194752337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194752337 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL V TIRABASSI |
| Credential | MD |
| Practice Address |
100 Wason Ave Suite 220 Springfield MA 01107-1381 |
| Mailing Address |
280 Chestnut St 2nd Fl Springfield MA 01199-1001 |
| Practice Telephone | 4137942442 |
| Practice Fax Number | 4137942910 |
| Mailing Telephone | 4137945700 |
| Mailing Fax Number | 4137941629 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2019-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
212733 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
100 WASON AVE SUITE 220 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801893359 | Amado Ramos Munson | Physician Assistant | 100 Wason Ave, Suite 120, Springfield, MA 01107-1381 | 2005-06-30 |
| 1972089597 | Roksolana V Voshchilo | Audiologist | 100 Wason Ave, Springfield, MA 01107-1381 | 2018-07-17 |
| 1184179517 | Renal and Transplant Associates of New England, PC | Transplant Surgery | 100 Wason Ave, Ste 200, Springfield, MA 01107-1381 | 2016-08-15 |
| 1235535204 | Renal and Transplant Associates of New England PC | Transplant Surgery | 100 Wason Ave, Suite 200, Springfield, MA 01107-1381 | 2014-11-18 |
| 1063823193 | Hendy Bulter Jean | Internal Medicine | 100 Wason Ave, Springfield, MA 01107-1381 | 2014-05-12 |
| 1033546643 | Lisa Ann Salisbury | Physician Assistant | 100 Wason Ave, Suite 120, Springfield, MA 01107-1381 | 2013-09-27 |
| 1548576135 | Laurette Lynn Patten | Nurse Practitioner | 100 Wason Ave, 230, Springfield, MA 01107-1179 | 2010-08-20 |
| 1366762932 | Pioneer Valley Plastic Surgery LLC | Surgery | 100 Wason Ave, Suite 360, Springfield, MA 01107-1119 | 2010-06-07 |
| 1316265622 | Lauren Busekroos | Otolaryngology | 100 Wason Ave, Suite 100, Springfield, MA 01107-1381 | 2010-05-11 |
| 1275865131 | Hemant Magoo | Internal Medicine | 100 Wason Ave, Suite 200, Springfield, MA 01107-1381 | 2010-02-03 |
| Find all providers in the same location | ||||
| 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 | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871766493 | Troy L. Spilde | Surgery | 400 N 9th St, Springfield, IL 62702-5310 | 2008-04-03 |
| 1194868653 | Richard A Courtney | Surgery | 125 Liberty St, Springfield, MA 01103-1114 | 2007-02-15 |
| 1558404012 | Stanley H Konefal | Surgery | 100 Wason Ave, Suite 220, Springfield, MA 01107-1381 | 2007-02-15 |
| 1306992987 | Gregory T Banever | Surgery | 100 Wason Ave, Suite 220, Springfield, MA 01107-1381 | 2007-01-26 |
| 1841395225 | David B Tashjian | Surgery | 100 Wason Ave, Suite 220, Springfield, MA 01107-1381 | 2006-09-13 |
| 1114034352 | Ahmed G. Mami | Surgery | 400 N 9th St, Springfield, IL 62702-5310 | 2006-08-24 |
| 1598774630 | Kevin Patrick Moriarty | Surgery | 100 Wason Ave, Ste 220, Springfield, MA 01107-1381 | 2006-08-07 |
| 1518972025 | Garret Seth Zallen | Surgery | 3377 Riverbend Dr, Pediatric Surgery, Springfield, OR 97477-8803 | 2006-07-31 |
| 1184610255 | Ruth D Mayforth | Surgery | 301 N 8th St, Pav4a, Springfield, IL 62701-1041 | 2005-09-23 |
| 1164422622 | Kimberly Anne Molik | Surgery | 800 E Carpenter St, Springfield, IL 62702-5324 | 2005-07-27 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
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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.