NICHOLAS V PANZA (NPI# 1245484203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245484203 |
| Entity Type | Individual |
| Full Name | NICHOLAS V PANZA |
| Credential | PA |
| Practice Address |
759 Chestnut Street Springfield MA 01199 |
| Mailing Address |
280 Chestnut Street 2nd Floor Springfield MA 01199 |
| Practice Telephone | 4137945161 |
| Mailing Telephone | 4137945700 |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2011-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA3757 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
012949-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
759 CHESTNUT STREET |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548267107 | Donal T O'hanlon | Psychiatry & Neurology | 759 Chestnut Street, S5632, Springfield, MA 01199 | 2005-06-28 |
| 1700404688 | Katherine L Pearson | Physician Assistant | 759 Chestnut Street, Springfield, MA 01107-1619 | 2020-07-08 |
| 1881214294 | Jang Garcia | Physician Assistant | 759 Chestnut Street, Springfield, MA 01107-1619 | 2020-04-26 |
| 1578193470 | Brian Michael Perl | Pharmacist | 759 Chestnut Street, Baystate Pharmacy - Daly 3, Springfield, MA 01199 | 2020-01-19 |
| 1801455464 | Kevin John Broems | Physician Assistant | 759 Chestnut Street, Springfield, MA 01107-1619 | 2019-06-07 |
| 1710455654 | Marta Golasinski | Nurse Practitioner | 759 Chestnut Street, Springfield, MA 01107 | 2018-11-08 |
| 1770051294 | Pamela C Mumba | Physician Assistant | 759 Chestnut Street, Springfield, MA 01107-1619 | 2018-11-02 |
| 1063987030 | Ashley Kathryn Provost | Physician Assistant | 759 Chestnut Street, Springfield, MA 01107-1619 | 2018-10-05 |
| 1396241972 | Megan Phillips | Physician Assistant | 759 Chestnut Street, S3677, Springfield, MA 01107 | 2018-04-03 |
| 1487173175 | Kristine Lauren Roth | Nurse Practitioner | 759 Chestnut Street, 2nd Fl, Springfield, MA 01107 | 2017-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194211227 | Alice Perman Leveston | Social Worker | 759 Chestnut St # S2660, Springfield, MA 01199 | 2018-07-01 |
| 1043732415 | Calvin Keith Craig | Student in an Organized Health Care Education/Training Program | Baystate Medical Center 759 Chestnut Street, Springfield, MA 01199 | 2017-07-07 |
| 1598026494 | Yesenia Greeff | Internal Medicine | 3300 Main St Ste 3a, Springfield, MA 01199 | 2012-06-06 |
| 1912231903 | Abistanand Ankam | Anesthesiology | 759 Chestnut St Department of Anesthesia, Baystate Medical Center, Holyoke, MA 01199 | 2009-09-24 |
| 1205099553 | Ejaz Khalid | Internal Medicine | 759 Chest Nut Street, Department of Internal Medicine Attn Linda Baillargeon, Springfield, MA 01199 | 2008-07-08 |
| 1184817926 | Asha Thomas | Pediatrics | 3300 Main Street 4th Floor, Suite A&b, Springfield, MA 01199 | 2007-08-24 |
| 1730381435 | Vicki Weld | Social Worker | 3300 Main Street, Suite 4a, Springfield, MA 01199 | 2007-06-04 |
| 1699976266 | Jim Maloney | Physical Therapist | 360 Birnie Avenue, Springfield, MA 01199 | 2007-05-30 |
| 1881780690 | Lawrence C Peters | Psychiatry & Neurology | 759 Chestnut Street S5632, Springfield, MA 01199 | 2006-10-05 |
| 1366460222 | Stephen A Luippold | Registered Nurse | 759 Chesnut Street, S2676, Springfield, MA 01199 | 2006-07-18 |
| Find all providers in zip 01199 | ||||
| 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 |
| 1831499383 | Christin Wolak | Physician Assistant | 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 | 2010-11-01 |
| 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 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01199 |
Please comment or provide details below to improve the information on NICHOLAS V PANZA.
| 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.