Individual provider Active NPI

Fabrizio Pluchino, M.D PHD

  • Medical-Surgical Clinical Nurse Specialist
  • West Springfield, MA
National Provider Identifier
1053707174
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Clinical Nurse SpecialistTaxonomy code 364SM0705X
License
185564 Issued in FL
Practice address
103 Craiwell Ave
West Springfield, MA 01089-2915
Phone
(617) 415-8429
NPI assigned
Apr 15, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Clinical Nurse Specialist 364SM0705X 185564 FL Primary

Addresses

Primary practice location

103 Craiwell Ave
West Springfield, MA 01089-2915

Mailing address

103 Craiwell Ave
West Springfield, MA 01089-2915
Phone (617) 415-8429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
185564FLMDMedical-Surgical Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1053707174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CRAIWELL AVE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010892915",
            "telephone_number": "617-415-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CRAIWELL AVE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010892915",
            "telephone_number": "617-415-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUCHINO",
        "first_name": "FABRIZIO",
        "name_prefix": "Dr.",
        "credential": "M.D PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "FL",
            "license": "185564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.