Vanessa C Pacholski, P.A.-C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001169 Issued in CT

Practice address

970 Farmington Ave
Suite 201
West Hartford, CT 06107-2139

Phone

(860) 561-4300

Fax

(860) 561-1635

NPI assigned

Apr 16, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Vanessa C Cossette Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Pediatrics and Adolescent Medicine, LLC

  • Pediatrics Physician
  • West Hartford, CT
  • NPI 1902029747
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1043435134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 FARMINGTON AVE",
            "address_2": "SUITE 201",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072139",
            "telephone_number": "860-561-4300",
            "fax_number": "860-561-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 FARMINGTON AVE",
            "address_2": "SUITE 201",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072139",
            "telephone_number": "860-561-4300",
            "fax_number": "860-561-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHOLSKI",
        "first_name": "VANESSA",
        "middle_name": "C",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "001169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "COSSETTE",
            "middle_name": "C",
            "credential": "P.A.-C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jillian Marie Ouellette, DC
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• Takaya Tyann Owens, LCSW
• Rafael Ozdemirer, DPT
• Denise Padilla
• Riley Page, DPT
• Patricia Pallanck
• Pamela a Kurth MD LLC
• Elena Panaitisor, LMT

• Physician Assistant in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.