Mrs. Melanie J Koumentakos, PA C
Physician Assistant in Agawam, Massachusetts
1295925956- Practice location
- 200 Silver St Unit 106, Agawam, MA 01001-3067
- Phone
- 413-341-5350
- Fax
- 413-341-5335
- Last updated
- April 13, 2026
Melanie Jean Koumentakos is a Physician Assistant based in Agawam, MA. Melanie Jean Koumentakos practices in Agawam, MA and has the professional credentials of PA C. The NPI Number for Melanie Jean Koumentakos is 1295925956 and holds a License No. 001905 (CT). The current practice location address for Melanie Jean Koumentakos is 200 Silver St Unit 106, Agawam, MA 01001-3067 and can be reached out via phone at 413-341-5350 and via fax at 413-341-5335.
Provider Profile Details
- NPI Number
- 1295925956
- Provider Name
- Melanie Jean Koumentakos
- Credential
- PA C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 200 Silver St Unit 106, Agawam, MA 01001-3067
- Phone Number
- 413-341-5350
- Fax Number
- 413-341-5335
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 30, 2007
- Last Update Date
- April 13, 2026
- Certification Date
- April 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Silver St Unit 106
Agawam, MA 01001-3067 - City
- Agawam
- State
- Massachusetts
- Zip
- 01001-3067
- Phone Number
- 413-341-5350
- Fax Number
- 413-341-5335
Provider Business Mailing Address Details
- Address
- 200 Silver St Unit 106
Agawam, MA 01001-3067 - City
- Agawam
- State
- MA
- Zip
- 01001-3067
- Phone Number
- 413-341-5350
- Fax Number
- 413-341-5335
License Information
- License Number
- 001905
- License State
- CT
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Melanie J Koumentakos, PA C?
The NPI number of Mrs. Melanie J Koumentakos, PA C is 1295925956. It was assigned on July 30, 2007 and is currently active in the NPPES registry.
What is the specialty of Mrs. Melanie J Koumentakos, PA C?
Mrs. Melanie J Koumentakos, PA C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 001905.
Where does Mrs. Melanie J Koumentakos, PA C practice?
The practice location is 200 Silver St Unit 106, Agawam, MA 01001-3067. The office can be reached at 413-341-5350 (phone) or 413-341-5335 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295925956 directly on the NPPES registry website.