ALEXIS HEATHER CHEN


Address: 680 Centre St, Brockton, MA 02302-3395
Phone: 8455421734

ALEXIS HEATHER CHEN (NPI# 1477195089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477195089
Entity Type Individual
Full Name ALEXIS HEATHER CHEN
Credential PA-C
Practice Address 680 Centre St
Brockton
MA 02302-3395
Mailing Address 680 Centre St
Brockton
MA 02302-3308
Practice Telephone 8455421734
Mailing Telephone 5089417000
Enumeration Date 2019-10-15
Last Update Date 2019-11-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA7234 Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA7234 MA Physician Assistants & Advanced Practice Nursing Providers

Other Providers ALEXIS CHEN

NPI Name Taxonomy Address Enumeration
1114276755 Alexis Chen Occupational Therapist 400 Parnassus Ave., A 68, Ucsf Medical Center, Dept. of Rehabilitative Services, San Francisco, CA 94143-0228 2012-08-29

Office Location

Street Address 680 CENTRE ST
City BROCKTON
State MA
Zip Code 02302-3395

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639176910 Marcia Waitzman Obstetrics & Gynecology 680 Centre St, Brockton, MA 02302-3308 2005-07-01
1770196396 Samantha Lipsky Physician Assistant 680 Centre St, Brockton, MA 02302-3308 2020-08-24
1760009328 Mandi Ella Clegg Social Worker 680 Centre St, Brockton, MA 02302-3308 2020-06-30
1972128643 Matthew Hall Wilson Student in an Organized Health Care Education/Training Program 680 Centre St, Brockton, MA 02302-3308 2020-06-09
1679198493 Alyssa Dicosmo Student in an Organized Health Care Education/Training Program 680 Centre St, Brockton, MA 02302-3308 2020-06-09
1720603566 Tessie Allan Student in an Organized Health Care Education/Training Program 680 Centre St, Brockton, MA 02302-3308 2020-06-08
1588289375 Collin Rozanski Student in an Organized Health Care Education/Training Program 680 Centre St, Brockton, MA 02302-3308 2020-06-08
1619592417 Balaji Arun Jothishankar Student in an Organized Health Care Education/Training Program 680 Centre St, Brockton, MA 02302-3308 2020-06-08
1013532845 Angell Shi Student in an Organized Health Care Education/Training Program 680 Centre St, Brockton, MA 02302-3308 2020-06-08
1386269124 Rebecca Yanovsky Student in an Organized Health Care Education/Training Program 680 Centre St, Brockton, MA 02302-3308 2020-06-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427513373 Miriam Monteiro Social Worker 688 Plain Street, Brockton, MA 02302 2019-02-05
1619432523 Shirley Elefson Social Worker 330 Crescent Street, Brockton, MA 02302 2019-02-05
1578055505 Steigmward Desir Specialist 472 E Ashland St, Brockton, MA 02302 2018-06-05
1114417797 Katherine Douglas Van Schaik Student in an Organized Health Care Education/Training Program Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 2018-05-18
1700376365 Emmanuel Carrodeguas Student in an Organized Health Care Education/Training Program Brockton Hospital, 680 Centre Street, Brockton, MA 02302 2018-05-18
1700303856 My Care, LLC Home Health 307 Field Street, Brockton, MA 02302 2017-08-29
1982124988 Shavon Franks Psychologist 30 Downey Rd, Brockton, MA 02302 2017-06-21
1831629286 Kings & Queens Empowered Religious Nonmedical Health Care Institution 312 Carl Ave, Brockton, MA 02302 2017-06-18
1487193389 Roseline Eliezer Licensed Practical Nurse 17 Simeon Avenue, Brockton, MA 02302 2017-02-13
1184008989 Danielle Parker Student in an Organized Health Care Education/Training Program 23 Grinnell Rd, Brockton, MA 02302 2015-07-13
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316311723 Matthew K. Haga Physician Assistant 680 Centre St, Brockton, MA 02302-3308 2015-11-23
1508257478 Chelsea K. Champlin Physician Assistant 1 Pearl St, Suite 2000, Brockton, MA 02301-2864 2015-02-12
1588096655 Shawna Mae Bucchere Physician Assistant 1 Pearl St, Suite 2100, Brockton, MA 02301-2864 2013-07-31
1790828119 Timothy D Grinnell Physician Assistant 110 Liberty St, Brockton, MA 02301-5521 2007-02-15
1265417042 James Vincent Sauro Physician Assistant 110 Liberty St, Brockton, MA 02301-5521 2005-12-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023627106 Taia Maria Tieland Physician Assistant 9 Hunting St Apt 1, Cambridge, MA 02141-1010 2020-07-24
1003434275 Antonious Jonah Abraham Physician Assistant 99 Corn Rd, Bolton, MA 01740-1055 2020-07-13
1407479272 Mackenzie Malcolm Gray Physician Assistant 35 Pynchon Rd, Holyoke, MA 01040-1514 2020-05-27
1780235333 Emily Fregeau Physician Assistant 1 Canal St Unit 518, Boston, MA 02114-2053 2019-09-25
1992369524 Jaclyn Hynes Physician Assistant 234 Otis St, Hingham, MA 02043-4504 2019-04-29
1376002931 Jack City, LLC Physician Assistant 290 Pleasant St Apt 212, Watertown, MA 02472-2429 2019-03-13
1578021911 Ashley Piemonte Physician Assistant 15 1/2 Russell St Apt 1, Charlestown, MA 02129-2492 2019-03-05
1407323686 Nicole Burke Tingley Physician Assistant 123 Summer St Ste 277, Worcester, MA 01608-1216 2018-10-25
1386111706 Nicole Laura Solman Physician Assistant 16 Deerhaven Rd, Lincoln, MA 01773-1806 2018-10-24
1881160943 Philip Apraku Bondzie Physician Assistant 266 Sportsmans Trl, Whitman, MA 02382-1726 2018-10-16
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Competitor

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City BROCKTON
Zip Code 02302

Improve Information

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Dataset Information

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.

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