Pioneer Valley Plastic Surgery LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

PIONEER VALLEY PLASTIC SURGERY LLC

Practice address

734 Longmeadow St., Suite 201
Longmeadow, MA 01106-2245

Phone

(413) 731-7877

Fax

(413) 731-7870

NPI assigned

Jun 7, 2010

Organization subpart

No

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

Authorized official

Name

Melissa A Johnson, MDNPI 1902901655

Title

Owner

Phone

(413) 731-7877

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 3

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

• Melissa A Johnson, MD

  • Plastic Surgery Physician
  • Longmeadow, MA
  • NPI 1902901655
  Medicare reassignment NPD Authorized official
• Rani U Athreya, MD

  • Neurology Physician
  • Springfield, MA
  • NPI 1114000734
  NPD (past)
• Jooyun Shin, CNP

  • Family Nurse Practitioner
  • Springfield, MA
  • NPI 1376214098
  NPD (past)

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1366762932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 LONGMEADOW ST., SUITE 201",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011062245",
            "telephone_number": "413-731-7877",
            "fax_number": "413-731-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 LONGMEADOW ST., SUITE 201",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011062245",
            "telephone_number": "413-731-7877",
            "fax_number": "413-731-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER VALLEY PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-731-7877",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tin Viet Phan
• Amy B Pierno, P.T.
• Laura Camila Pinto Castrillo
• Pioneer Behavioral Health LLC
• Pioneer Valley Pediatrics, Inc.
• Piper Therapy & Associates, LLC
• Piper Therapy and Associates
• Ellen Piper
• Malgorzata Platz, NP
• Pleasant View Vision Care

• Plastic and Reconstructive Surgery Physician in Longmeadow, MA
• Providers in Longmeadow, MA by specialty
• Plastic and Reconstructive Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.