MS. MELANIE J KIROUAC (NPI# 1396733671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396733671 |
| Entity Type | Individual |
| Full Name | MS. MELANIE J KIROUAC |
| Other Name | MS. MELANIE J KRUPA |
| Credential | PA |
| Practice Address |
21 Dwight Road Suite 105 Longmeadow MA 01106 |
| Mailing Address |
280 Chestnut Street 2nd Floor Springfield MA 01199-1001 |
| Practice Telephone | 4137945600 |
| Practice Fax Number | 4137942733 |
| Mailing Telephone | 4137945700 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2019-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1772 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 73 Russell Rd, Huntington, MA 01050 | 4136673009 |
| Street Address |
21 DWIGHT ROAD SUITE 105 |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 01106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043215841 | Jonathan R Moldover | Physical Medicine & Rehabilitation | 21 Dwight Road, Ste 104, Longmeadow, MA 01106 | 2005-06-17 |
| 1275036683 | Jeffrey Lawrence Hammond | Nurse Practitioner | 21 Dwight Road, Suite 104, Longmeadow, MA 01106 | 2018-03-12 |
| 1508376849 | Pamela Jenner Jeppson | Physician Assistant | 21 Dwight Road, Suit 105, Longmeadow, MA 01106 | 2017-09-30 |
| 1427456953 | Malgorzata Platz | Nurse Practitioner | 21 Dwight Road, Longmeadow, MA 01106 | 2014-12-16 |
| 1073914842 | Erin Mary Ferraro | Nurse Practitioner | 21 Dwight Road, Suite 104, Longmeadow, MA 01106 | 2014-09-11 |
| 1255638185 | Saad Wasiq Usmani | Internal Medicine | 21 Dwight Road, Suite 104, Longmeadow, MA 01106 | 2011-02-11 |
| 1881819209 | Grace Albert | Physician Assistant | 21 Dwight Road, Suite 104, Longmeadow, MA 01106 | 2007-04-13 |
| 1326111634 | Rosette Perseveranda Odulio | Internal Medicine | 21 Dwight Road, Suite 104, Longmeadow, MA 01106 | 2006-11-16 |
| 1992889992 | Robin Gottlieb | Physical Medicine & Rehabilitation | 21 Dwight Road, Suite 105, Longmeadow, MA 01106 | 2006-10-25 |
| 1346335320 | Barry M Rodstein | Physical Medicine & Rehabilitation | 21 Dwight Road, Suite 105, Longmeadow, MA 01106 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797646 | Paula Arrigg | Counselor | 175 Dwight Road, Longmeadow, MA 01106 | 2020-10-14 |
| 1003429010 | Optimal Therapy Solutions, LLC | Clinic/Center | 127 Bel Air Drive, Longmeadow, MA 01106 | 2020-08-28 |
| 1164840666 | Erin Feller | Pediatrics | 123 Dwight Rd., Longmeadwod, MA 01106 | 2014-04-01 |
| 1255611299 | Christina Rose Lalime | Community Health Worker | 206 Bel Air Dive, Longmeadow, MA 01106 | 2011-08-22 |
| 1851503742 | Andrew M. Oxman | Counselor | 1200 Converse Street, Longmeadow, MA 01106 | 2007-05-04 |
| 1093833048 | Lilly Gaev | Social Worker | Therapeutic Associates PC, 167 Dwight Rd #104, Longmeadow, MA 01106 | 2007-03-27 |
| 1093840530 | Julie A Cox | Psychologist | 167 Dwight Rd #104, Therapeutic Associates PC, Longmeadow, MA 01106 | 2007-02-23 |
| 1932252897 | Karen Elizabeth Marsian | Podiatrist | 123 Dwight Road, Suite 13 W1, Longmeadow, MA 01106 | 2007-01-22 |
| 1386700227 | Visions of Longmeadow | Eyewear Supplier (Equipment, not the service) | 471 Longmeadow Street, Visions of Longmeadow, Longmeadow, MA 01106 | 2006-12-28 |
| 1437226701 | Richard T. Longo | Psychologist | 167 Dwight Road, Suite #104, Longmeadow, MA 01106 | 2006-11-29 |
| Find all providers in zip 01106 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891319570 | Nathan Philip Byrne | Physician Assistant | 460 Bliss Rd, Longmeadow, MA 01106-1548 | 2020-05-29 |
| 1467969972 | Jacob Freeman | Physician Assistant | 21 Dwight Rd Ste 104, Longmeadow, MA 01106-1765 | 2018-01-05 |
| 1508376849 | Pamela Jenner Jeppson | Physician Assistant | 21 Dwight Road, Suit 105, Longmeadow, MA 01106 | 2017-09-30 |
| 1346779154 | Tiffany Le | Physician Assistant | 21 Dwight Rd Ste 104, Longmeadow, MA 01106-1765 | 2017-06-06 |
| 1881819209 | Grace Albert | Physician Assistant | 21 Dwight Road, Suite 104, Longmeadow, MA 01106 | 2007-04-13 |
| 1225071657 | Sharon M Woods | Physician Assistant | 21 Dwight Road, Suite 105, Longmeadow, MA 01106 | 2006-06-14 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | LONGMEADOW |
| Zip Code | 01106 |
Please comment or provide details below to improve the information on MS. MELANIE J KIROUAC.
| 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.