Active NPIIndividual provider

Stephanie S Aviles, PA-C

Physician Assistant in Enfield, Connecticut

NPI Number1487088241
Practice location
Enfield Medical Associates, 701 Enfield Street, Enfield, CT 06082
Fax
413-733-5860
Last updated
December 7, 2022

Stephanie Saal Aviles is a Physician Assistant based in Enfield, CT. Stephanie Saal Aviles practices in Enfield, CT and has the professional credentials of PA-C. The NPI Number for Stephanie Saal Aviles is 1487088241 and holds a License No. PA-4817 (MA). The current practice location address for Stephanie Saal Aviles is Enfield Medical Associates, 701 Enfield Street, Enfield, CT 06082 and can be reached out via phone at 860-741-6058 and via fax at 413-733-5860.

Provider Profile Details

NPI Number
1487088241
Provider Name
Stephanie Saal Aviles
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
Enfield Medical Associates, 701 Enfield Street, Enfield, CT 06082
Phone Number
860-741-6058
Fax Number
413-733-5860
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
Stephanie Saal Aviles, PA-C (Former Name)
Provider Enumeration Date
August 29, 2013
Last Update Date
December 7, 2022
Certification Date
December 1, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
Enfield Medical Associates
701 Enfield Street
Enfield, CT 06082
Zip
06082
Phone Number
860-741-6058
Fax Number
413-733-5860
Enfield, CT 06082Get directions →

Provider Business Mailing Address Details

Address
Springfield Medical Associates, INC
2150 Main Street
Springfield, MA 01104
City
Springfield
State
MA
Zip
01104
Phone Number
413-739-5676
Fax Number
413-733-5860

License Information

License Number (1)
PA-4817
License State (1)
MA
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA4817
License State (2)
MA
Taxonomy (2)
Physician Assistant · 363A00000X
License Number (3)
5910
License State (3)
MA
Taxonomy (3)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Stephanie S Aviles, PA-C?

The NPI number of Stephanie S Aviles, PA-C is 1487088241. It was assigned on August 29, 2013 and is currently active in the NPPES registry.

What is the specialty of Stephanie S Aviles, PA-C?

Stephanie S Aviles, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA-4817.

Where does Stephanie S Aviles, PA-C practice?

The practice location is Enfield Medical Associates, 701 Enfield Street, Enfield, CT 06082. The office can be reached at 860-741-6058 (phone) or 413-733-5860 (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 1487088241 directly on the NPPES registry website.

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