Pioneer Valley ENT Surgeons LLC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

PIONEER VALLEY ENT SURGEONS LLC

Practice address

15 Straw Ave
Florence, MA 01062-1464

Phone

(413) 586-7100

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Michael Stamm, M.D.

Title

Owner

Phone

(413) 586-7100

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelley Sasur, PA-C

  • Physician Assistant
  • Florence, MA
  • NPI 1982753190
  NPD (past)
• David John Ericson, PA-C

  • Medical Physician Assistant
  • Bel Air, MD
  • NPI 1568560761
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1295884500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 STRAW AVE",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010621464",
            "telephone_number": "413-586-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 STRAW AVE",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010621464",
            "telephone_number": "413-586-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER VALLEY ENT SURGEONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "STAMM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-586-7100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9733761",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward J. Patton, MD
• Susan Robinson Perrault, RPH
• Peter W. Butler, M.D., Endocrinology, LLC
• Pharmacy Operations, Inc
• Guetchine Pierre
• Pioneer Valley Internal Medicine, PC
• Katherine R Polchlopek, RN
• Elizabeth E Powers, PT
• Simona Pozzetto, LICSW
• Linda J Preston, M.D.

• Oral & Maxillofacial Surgery (D.M.D.) in Florence, MA
• Providers in Florence, MA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.