TYLER JOSEPH BRANCO (NPI# 1467975151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467975151 |
| Entity Type | Individual |
| Full Name | TYLER JOSEPH BRANCO |
| Credential | PA-C |
| Practice Address |
2344 Boston Rd Wilbraham MA 01095-1104 |
| Mailing Address |
280 Chestnut St Fl 2 Springfield MA 01199-1001 |
| Practice Telephone | 4135965550 |
| Practice Fax Number | 4137942551 |
| Mailing Telephone | 4137945700 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2019-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA6199 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386295368 | Tyler Joseph Branco | Counselor | 401 E. Imperial Hwy, Fullerton, CA 92835-1145 | 2019-09-22 |
| Street Address |
2344 BOSTON RD |
| City | WILBRAHAM |
| State | MA |
| Zip Code | 01095-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669459178 | Laurie Dasso Butler | Physician Assistant | 2344 Boston Rd, Wilbraham, MA 01095-1104 | 2005-12-27 |
| 1114404126 | Michael Mccool | Physician Assistant | 2344 Boston Rd, Wilbraham, MA 01095-1104 | 2018-07-23 |
| 1609387182 | Lisa Beth Brosnan | Nurse Practitioner | 2344 Boston Rd, Wilbraham, MA 01095-1104 | 2017-10-23 |
| 1801264924 | Tamela Marie Rodrigues | Nurse Practitioner | 2344 Boston Rd, Wilbraham, MA 01095-1104 | 2015-09-05 |
| 1396918447 | Sarah A Freedman | Internal Medicine | 2344 Boston Rd, Wilbraham, MA 01095-1104 | 2008-04-09 |
| 1407037864 | Lisa None Merriweather | Counselor | 2344 Boston Rd, Wilbraham, MA 01095-1104 | 2007-11-14 |
| 1659382281 | Craig E Kannel | Internal Medicine | 2344 Boston Rd, Wilbraham, MA 01095-1104 | 2006-08-10 |
| 1568473197 | John F Peluso | Internal Medicine | 2344 Boston Rd, Wilbraham, MA 01095-1104 | 2006-08-10 |
| 1639183676 | Luis A Santiago-cruz | Family Medicine | 2344 Boston Rd, Wilbraham, MA 01095-1104 | 2006-07-27 |
| 1477572436 | Subha T Clarke | Internal Medicine | 2344 Boston Rd, Wilbraham, MA 01095 | 2006-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912436619 | Amanda M Bryant | Nurse Practitioner | 70 Pst Office Park, Wilbraham, MA 01095 | 2017-06-06 |
| 1568867539 | Michael Roy | Physical Therapist | 2301 Boston Rd, Wilbraham, MA 01095 | 2014-11-03 |
| 1588925440 | Jeziel Miguel Gonzalez | Physical Therapist | 6 Colonial Rd, Wilbraham, MA 01095 | 2012-06-06 |
| 1306117783 | Rosemary Wrona | Physical Therapist | 2 Lodge Ln, Wilbraham, MA 01095 | 2012-01-18 |
| 1356508584 | Big Y Foods Inc | Pharmacy | 2035 Boston Rd, Wilbraham, MA 01095 | 2008-05-16 |
| 1235315854 | Elizabeth L Rose | Pediatrics | Riverbend Medical Group, Inc, 70 Post Office Park, Wilbraham, MA 01095 | 2008-01-14 |
| 1346315140 | Mary Beth Laliberte | Physician Assistant | 2040 Boston Rd Ste 5, Wilbraham, MA 01095 | 2006-11-21 |
| 1003993668 | Anita Chopra | Dentist | 2141 Boston Road, Northeast Dental, Wilbraham, MA 01095 | 2006-11-01 |
| 1558461525 | Cynthia A Kennedy | Nurse Practitioner | 34 Sandalwood Dr, Wilbraham, MA 01095 | 2006-09-22 |
| 1063447357 | Susan W James | Social Worker | 919 Main St., Wilbraham, MA 01095 | 2006-07-12 |
| Find all providers in zip 01095 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609154111 | Jason M Luszcz | Physician Assistant | 70 Post Office Park, Wilbraham, MA 01095-1290 | 2011-08-01 |
| 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.