MELISSA BERGERON (NPI# 1356485379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356485379 |
| Entity Type | Individual |
| Full Name | MELISSA BERGERON |
| Credential | P.A. |
| Practice Address |
323 Lowell St Andover MA 01810-4501 |
| Practice Telephone | 9787835000 |
| Practice Fax Number | 9783138184 |
| Mailing Telephone | 9787835000 |
| Mailing Fax Number | 9783138184 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2016-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1384 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518251933 | Melissa Mary Bergeron | Pharmacist | 3130 S Airport Rd W, Traverse City, MI 49684-8995 | 2011-06-02 |
| 1437204724 | Melissa Jo Bergeron | Registered Nurse | 326 Washington St, Norwich, CT 06360-2740 | 2007-01-24 |
| Street Address |
323 LOWELL ST |
| City | ANDOVER |
| State | MA |
| Zip Code | 01810-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609876747 | Tatiana N Scott | Internal Medicine | 323 Lowell St, Andover Medical Center & Expresscare, Andover, MA 01810-4501 | 2005-07-29 |
| 1922653179 | Matthew James Sullivan | Physician Assistant | 323 Lowell St, Andover, MA 01810-4659 | 2019-08-05 |
| 1003470980 | Community Medical Associates, Inc. | Surgery | 323 Lowell St, Andover, MA 01810-4501 | 2019-04-26 |
| 1831667484 | Therese Diola | Physician Assistant | 323 Lowell St, Andover, MA 01810-4501 | 2018-11-12 |
| 1194293738 | Garkie Zhu | Physician Assistant | 323 Lowell St, Andover, MA 01810-4501 | 2018-11-12 |
| 1548763766 | Marco Christian Montecalvo | Physician Assistant | 323 Lowell St, Andover, MA 01810-4501 | 2018-03-14 |
| 1306345244 | Gregory Joseph Parks | Physician Assistant | 323 Lowell St, Andover, MA 01810-4501 | 2018-02-06 |
| 1629585799 | Sterling Chase Campbell | Nurse Practitioner | 323 Lowell St, Andover, MA 01810-4501 | 2018-01-10 |
| 1073981155 | Alexsis Walter | Nurse Practitioner | 323 Lowell St, Andover, MA 01810-4501 | 2015-09-08 |
| 1114335122 | Laura Enos | Nurse Practitioner | 323 Lowell St, Andover Medical Center & Expresscare, Andover, MA 01810-4501 | 2014-07-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871123513 | Jill Katherine Priestley | Registered Nurse | 251 South Main Street, Andover, MA 01810 | 2020-01-22 |
| 1023672086 | Diane Marie Gallant | Occupational Therapy Assistant | 5606 80 Andover Street, Andover, MA 01810 | 2019-04-25 |
| 1932677473 | Jessica Howie | Physician Assistant | 28 Andover St Fl 1, Andover, MA 01810 | 2018-11-02 |
| 1972087138 | Mia Cloonan | Social Worker | 1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810 | 2018-09-23 |
| 1063995462 | Janet Suleski | Social Worker | 10 Stevens St, Andover, MA 01810 | 2018-09-11 |
| 1942794706 | Alison Catherine Lynch | Optometrist | 7 Parthenon Cir, Andover, MA 01810 | 2018-06-15 |
| 1740773647 | Wandajune Bishop-towle | Psychologist | 75 Wild Rose Dr., Andover, MA 01810 | 2018-06-14 |
| 1235689860 | Jo-ann Elizabeth Newcomb | Registered Nurse | 12 Hemlock Rd, Andover, MA 01810 | 2016-10-06 |
| 1922476712 | Marianela Rivera | Physical Therapist | 32 Osgood St., Andover, MA 01810 | 2015-09-10 |
| 1447535935 | Kathleen L Mccracken | Occupational Therapy Assistant | 200 Brickstone Square, 3rd Floor, Genesis Rehab Services, Andover, MA 01810 | 2011-10-15 |
| Find all providers in zip 01810 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972583649 | Ashli J Benjamin | Physician Assistant | 308 E Central Ave, Andover, KS 67002-5605 | 2006-01-19 |
| 1164072674 | Hannah Koons | Physician Assistant | 20 Main St, Andover, NY 14806-9303 | 2019-09-17 |
| 1386073393 | Meghan Chase | Physician Assistant | 6 Windsor St, Andover, MA 01810-2605 | 2013-11-11 |
| 1528493608 | Emily N Regehr | Physician Assistant | 105 S Andover Rd, Ste D, Andover, KS 67002-7920 | 2013-09-09 |
| 1316383185 | Teresa M Jesse | Physician Assistant | 149 E Main St, Andover, OH 44003-9479 | 2013-05-20 |
| 1245420710 | Mai See Thao | Physician Assistant | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2007-07-30 |
| 1659323020 | Bridgette K Pocock | Physician Assistant | 308 E Central Ave, Andover, KS 67002-8897 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897024 | Eoin Moriarty | Physician Assistant | 99 Merryknoll Rd, Weymouth, MA 02191-2020 | 2020-09-30 |
| 1942812334 | Manacey Clermont | Physician Assistant | 21 Robinson Rd, Woburn, MA 01801-6136 | 2020-08-18 |
| 1801411756 | Kimberly Marques | Physician Assistant | 3 Medeiros Farm Rd, Seekonk, MA 02771-2029 | 2020-06-16 |
| 1821613548 | Emily Reynolds | Physician Assistant | 7 Blood Rd, Charlton, MA 01507-5128 | 2020-06-09 |
| 1275155590 | Makenna Camara | Physician Assistant | 249 Hixville Rd, North Dartmouth, MA 02747-1937 | 2020-05-08 |
| 1720608912 | John Eastman | Physician Assistant | 243b Savin Hill Ave, Boston, MA 02125-1003 | 2020-04-17 |
| 1871122168 | Alexandra Emmanuelle Rochman | Physician Assistant | 54 W Crystal Brook Dr, Springfield, MA 01118-1946 | 2020-04-07 |
| 1366074122 | Heather Kirby | Physician Assistant | 264 Fowler Rd, Westfield, MA 01085-4013 | 2020-02-10 |
| 1639712011 | Joseph John Milos | Physician Assistant | 201 Carlson Ln, West Barnstable, MA 02668-1224 | 2019-10-18 |
| 1912558321 | Rafael Rondeau | Physician Assistant | 12 Indian Pond Rd, Kingston, MA 02364-2051 | 2019-09-26 |
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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.