Western Ma Wound Care Inc.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

WESTERN MA WOUND CARE INC.

Practice address

63 French King Hwy
Greenfield, MA 01301-1337

Phone

(413) 512-5111

Fax

(413) 512-5112

NPI assigned

May 1, 2024

Last updated

Mar 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alyssa AyalaNPI 1912356668

Title

Owner

Phone

(413) 512-5111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alyssa N Ayala, PA-C

  • Medical Physician Assistant
  • Greenfield, MA
  • NPI 1912356668
  Medicare reassignment Care Compare group Authorized official
• Brian James Beauvais, PA-C

  • Wound Care Registered Nurse
  • East Longmeadow, MA
  • NPI 1801346648
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1306693015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 FRENCH KING HWY",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011337",
            "telephone_number": "413-512-5111",
            "fax_number": "413-512-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 FRENCH KING HWY",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011337",
            "telephone_number": "413-512-5111",
            "fax_number": "413-512-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MA WOUND CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-512-5111"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Weiss
• Sherry H Weitzen, M.D.
• Deanna Michelle Welch, NP
• Keagan Paine Wells
• Tricia Lyn Wells, LICSW
• Western Massachusetts Behavioral Hospital LLC (Changes Valley Springs)
• Simonne Angela Westort, LICENSED FOOT CARE N
• Meghan Elizabeth Wheeler
• Dakota Rae Whelpley, CNM
• Caroline S White, P.T.

• Physician Assistant in Greenfield, MA
• Providers in Greenfield, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.