Unknown Individual – Physician Assistant, NPI 1124061627
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
285 E State St
Suite 260
Columbus, OH 432154354
Phone: (614) 566-9035
Fax: (614) 566-9302
Type: Location
707 W 2nd St
Bloomington, IN 474032209
Phone: (812) 334-5081
Fax: (812) 339-8344
Type: Location
280, Chestnut Street, Metro Center, Springfield, Hampden County, Massachusetts, 01103, United States
2ND FL
SPRINGFIELD, MA 011991001
Phone: (413) 794-5700
Type: Mailing
Baystate Medical Center, 759, Chestnut Street, North End, Springfield, Hampden County, Massachusetts, 01199, United States
SPRINGFIELD, MA 01107
Phone: (413) 794-5550
Fax: (413) 794-4212
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43215)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | VA | |
| Internal Medicine, Hospitalist, Internal Medicine | VA | |
| - | VA | |
| General Surgery | VA | |
| Family Practice | VA | |
| - | VA | |
| - | VA | |
| General Surgery | VA | |
| P S Y C H I A T R Y | VA | |
| Internal Medicine, Hospitalist | VA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.