Individual provider Active NPI

Philip Joseph Yanni, PA

  • Physician Assistant
  • West Springfield, MA
National Provider Identifier
1235113960
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
145 Issued in MA
Practice address
900 Memorial Ave
West Springfield, MA 01089-3557
Phone
(413) 739-9001
Fax
(413) 732-2561
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 145 MA Primary

Addresses

Primary practice location

900 Memorial Ave
West Springfield, MA 01089-3557

Mailing address

354 Birnie Ave Ste 202
Hampden County Physician Assoc LLC
Springfield, MA 01107-1109
Phone (413) 733-3470

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
145MAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
The Mercy Hospital Inc Past Accepting new patients
Hampden County Physician Associates, LLC. Past Accepting new patients
Hampden County Physician Associates, LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1235113960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 BIRNIE AVE STE 202",
            "address_2": "HAMPDEN COUNTY PHYSICIAN ASSOC LLC",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071109",
            "telephone_number": "413-733-3470",
            "fax_number": "413-733-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MEMORIAL AVE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893557",
            "telephone_number": "413-739-9001",
            "fax_number": "413-732-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANNI",
        "first_name": "PHILIP",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "145",
            "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 Jun 10, 2008; 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.