Sophia Rose Hantzis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

6 Congress St Apt 3
Worcester, MA 01609-3194

Phone

(978) 500-5967

NPI assigned

Aug 19, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Jose R. Gutierrez MD PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Acton, MA
  • NPI 1851987663
  Medicare reassignment
• Ma Pacs 2 PC

  • Hospitalist Physician
  • Chelsea, MA
  • NPI 1265918791
  Medicare reassignment
• Worcester Internal Medicine, Inc.

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1063565422
  Medicare reassignment
• CS Pacs 3 Northeast, LLC

  • Hospitalist Physician
  • Frederick, MD
  • NPI 1093598898

  MA

  Medicare reassignment
• Massachusetts Post Acute Medical Services 1 PC

  • Hospitalist Physician
  • Annapolis, MD
  • NPI 1699204503

  MA

  Medicare reassignment
• Ipc Hospitalists of New England, P.C.

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1659555266

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1538835442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CONGRESS ST APT 3",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016093194",
            "telephone_number": "978-500-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CONGRESS ST APT 3",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016093194",
            "telephone_number": "978-500-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANTZIS",
        "first_name": "SOPHIA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "S11651435",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "11651435",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Hansen
• Tammy Lynn Hansen
• Rebecca J Hanson Richardson, PH.D.
• Jacob Keith Hanson
• Karla A. Hanson, PA-C
• Muhammad Salman Ul Haq, MBBS, MD
• Erin Leigh Harackiewicz, M.ED.
• Helen T Haran, LICSW
• John P. Haran Jr., MD
• Geneva Harburger

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.