SVETLANA PUZANKOV (NPI# 1487906988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487906988 |
Entity Type | Individual |
Full Name | SVETLANA PUZANKOV |
Credential | PAC |
Practice Address |
75 Springfield Rd Suite 1 Westfield MA 01085-1790 |
Practice Telephone | 4135625173 |
Practice Fax Number | 4135621716 |
Mailing Telephone | 4135625173 |
Mailing Fax Number | 4135621716 |
Enumeration Date | 2012-10-08 |
Last Update Date | 2012-10-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA4515 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
75 SPRINGFIELD RD SUITE 1 |
City | WESTFIELD |
State | MA |
Zip Code | 01085-1790 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235139130 | Marybeth S Kelly | Physician Assistant | 75 Springfield Rd, Suite 1 Family Medicine Assoc, Westfield, MA 01085 | 2005-07-21 |
1780235275 | Dg Physical Therapy, P.C. | Clinic/Center | 75 Springfield Rd, Suite 9, 2nd Floor, Westfield, MA 01085 | 2019-09-25 |
1588030548 | Steven Vien | Physical Therapist | 75 Springfield Rd, Westfield, MA 01085-1790 | 2015-08-13 |
1447676739 | L Willis Roberts Md General Surgery LLC | Specialist | 75 Springfield Rd, Suite 3, Westfield, MA 01085-1790 | 2014-03-11 |
1396024246 | Alexis Gorman | Nurse Practitioner | 75 Springfield Rd, Suite 1, Westfield, MA 01085-1790 | 2011-08-10 |
1023153640 | Family Medicine Associates | Family Medicine | 75 Springfield Rd, Suite 1, Westfield, MA 01085-1832 | 2007-02-21 |
1851405914 | Theodore John Krawiec | Ophthalmology | 75 Springfield Rd, Suite 4, Westfield, MA 01085 | 2006-08-18 |
1215989876 | Lance David Reynolds | Internal Medicine | 75 Springfield Rd, Suite 1, Westfield, MA 01085-1832 | 2006-05-16 |
1477504421 | Gloria Lorraine Stewart | Nurse Practitioner | 75 Springfield Rd, Suite 1, Westfield, MA 01085-1832 | 2006-05-15 |
1326099094 | George E Reynolds | Family Medicine | 75 Springfield Rd, Suite 1, Westfield, MA 01085-1832 | 2006-05-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801371950 | Gaetana Maria Aliotta | Social Worker | 164 Loomis Ridge, Westfield, MA 01085 | 2018-09-25 |
1437631363 | Jill Colleen Adams | Social Worker | 985 Granville Road, Westfield, MA 01085 | 2018-09-06 |
1447778691 | Emily Marie Badger | Counselor | 555 Russell Rd, Westfield, MA 01085 | 2017-09-07 |
1508381385 | Erin Humphrey | Assistant Behavior Analyst | 98 West Silver Street, Westfield, MA 01085 | 2017-08-14 |
1871954263 | Jamie Lynn Thomas | Developmental Therapist | 209 Root Road, Westfield, MA 01085 | 2016-03-11 |
1093064412 | Health Imperatives, Inc. | Clinic/Center | 51 East Mountain Road, Westfield, MA 01085 | 2012-08-30 |
1588956767 | Ruth A Norman | Social Worker | 1029 North Rd Ste 22, Westfield, MA 01085 | 2011-05-06 |
1881904449 | Community Physicians PC | Counselor | 125 North Elm Street, Westfield, MA 01085 | 2010-10-18 |
1952624165 | Heather Ann Siswick | Social Worker | 77 Mill Street, Westfield, MA 01085 | 2010-03-03 |
1659606531 | Corbett Consulting LLC | Home Health | 57 Franklin Street, Westfield, MA 01085 | 2009-10-09 |
Find all providers in zip 01085 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366074122 | Heather Kirby | Physician Assistant | 264 Fowler Rd, Westfield, MA 01085-4013 | 2020-02-10 |
1144495870 | Pamela J. Condon | Physician Assistant | 57 Union St Ste 101, Westfield, MA 01085-4224 | 2008-04-24 |
1063487668 | Ernest Silva Jr. | Physician Assistant | 175 Falcon Dr, 104th Medical Group - Barnes Angb, Westfield, MA 01085-1482 | 2006-02-17 |
1942784939 | Mary Mcdonald | Physician Assistant | 138 E Main St, Westfield, NY 14787-1121 | 2018-09-17 |
1013326172 | Jessica Grabowski | Physician Assistant | 57 Union St, Suite 101, Westfield, MA 01085-2658 | 2014-08-03 |
1134469604 | Dianne Elizabeth Lavoie | Physician Assistant | 395 Southampton Rd, Westfield, MA 01085-1324 | 2013-02-21 |
1770855256 | Ashley Hoffman | Physician Assistant | 395 Southampton Rd, Westfield, MA 01085-1324 | 2012-01-31 |
1952533481 | Amy Michele Dietz | Physician Assistant | 525 Central Ave Ste D, Westfield, NJ 07090-2545 | 2009-08-17 |
1871636654 | Amy M Dunman | Physician Assistant | 324 South Ave E, Westfield, NJ 07090-1459 | 2007-02-14 |
1083760953 | Chris O. Juden | Physician Assistant | 115 W Silver St, Westfield, MA 01085-3628 | 2007-01-25 |
Find all providers in WESTFIELD |
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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.