Svetlana Puzankov, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA4515 Issued in MA

Practice address

75 Springfield Rd
Suite 1
Westfield, MA 01085-1790

Phone

(413) 562-5173

Fax

(413) 562-1716

NPI assigned

Oct 8, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: svetlana.puzankov@fma-ma.direct.office.nextgen.com

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1487906988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SPRINGFIELD RD",
            "address_2": "SUITE 1",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851790",
            "telephone_number": "413-562-5173",
            "fax_number": "413-562-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SPRINGFIELD RD",
            "address_2": "SUITE 1",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851790",
            "telephone_number": "413-562-5173",
            "fax_number": "413-562-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUZANKOV",
        "first_name": "SVETLANA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA4515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Provost, BA
• Monica Ann Przybyla
• Psych Wellness Group, Inc.
• Aleksandr D Pugach, MD
• Beata Adela Puri, M.D.
• Pete Daniel Pyrzanowski-Charland, LICSW
• Jennifer Quaglini, LPN
• Yanitza Quiles, LICSW
• Elizabeth Jean Quinby, CPNP
• Rebecca Rackmill, BA

• Medical Physician Assistant in Westfield, MA
• Providers in Westfield, MA by specialty
• Medical Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.

Verify at the official NPI Registry.