Active NPI
Bonnie H Paddleford, PA
- Medical Physician Assistant
- Springfield, MA
National Provider Identifier
1457546764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA2374
- Practice address
- 3300 Main Street
3Rd Floor, Suite a
Springfield, MA 01199-1619 - Phone
- (413) 794-7031
- Fax
- (413) 794-7133
- NPI assigned
- Sep 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA2374 | MA | Primary |
Addresses
Primary practice location
3300 Main Street
3Rd Floor, Suite a
Springfield, MA 01199-1619
Mailing address
280 Chestnut Street
2ND Floor
Springfield, MA 01199-1619
Phone (413) 794-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2374 | MA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caring Health Center, Inc. | Current | Accepting new patients | |
| Caring Health Center, Inc | Current | Accepting new patients |
Locations
1235 Boston Rd
Springfield, MA 01119
Phone (413) 693-1061
1049 Main St
Springfield, MA 01103
Phone (413) 304-4606
Interoperability endpoints
- bpaddleford114161@direct.ochin.org
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Springfield, MA
- NPI 1659476356
-
- Medical Specialty Clinic/Center
- Springfield, MA
- NPI 1942925896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299801600000",
"number": "1457546764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CHESTNUT STREET",
"address_2": "2ND FLOOR",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011991619",
"telephone_number": "413-794-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 MAIN STREET",
"address_2": "3RD FLOOR, SUITE A",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011991619",
"telephone_number": "413-794-7031",
"fax_number": "413-794-7133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADDLEFORD",
"first_name": "BONNIE",
"middle_name": "H",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-10",
"last_updated": "2011-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MA",
"license": "PA2374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.