Monson Pediatrics PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MONSON PEDIATRICS PC

Practice address

218 Cedar Swamp Rd
Monson, MA 01057-9307

Phone

(413) 237-3232

NPI assigned

Jun 5, 2007

Last updated

Aug 22, 2020By 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

Melissa Ann Blackburn

Title

NP

Phone

(413) 237-3232

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Melissa Ann Blackburn-Kierkla, NP

  • Pediatric Nurse Practitioner
  • Monson, MA
  • NPI 1164461273
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790987345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 CEDAR SWAMP RD",
            "city": "MONSON",
            "state": "MA",
            "postal_code": "010579307",
            "telephone_number": "413-237-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 CEDAR SWAMP RD",
            "city": "MONSON",
            "state": "MA",
            "postal_code": "010579307",
            "telephone_number": "413-237-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONSON PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "413-237-3232"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph W Malinoski, RPH
• Angela T. Mason, FNTP
• Diane Mastroianni, OT
• MK-Urology LLC
• Monson Famiy Dental
• Keith Wilfred Munningham
• Stephanie Oliveira, MA, LMHC
• Stanley Edmund Piecuch, DMD
• Stacy Politis
• Sarah Beth Puffer Caron, OTR/L

• Family Medicine Physician in Monson, MA
• Providers in Monson, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.