Active NPIIndividual provider

Mr. Stephen Gobeille, PA

Physician Assistant, Medical in Ludlow, Massachusetts

NPI Number1790870301
Practice location
627 Randall RD, Ludlow, MA 01056-1085
Fax
413-589-0912
Last updated
June 21, 2022

Stephen Gobeille is a Physician Assistant, Medical based in Ludlow, MA. Stephen Gobeille practices in Ludlow, MA and has the professional credentials of PA. The NPI Number for Stephen Gobeille is 1790870301 and holds a License No. 001782 (CT). The current practice location address for Stephen Gobeille is 627 Randall RD, Ludlow, MA 01056-1085 and can be reached out via phone at 413-858-0119 and via fax at 413-589-0912.

Provider Profile Details

NPI Number
1790870301
Provider Name
Stephen Gobeille
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
627 Randall RD, Ludlow, MA 01056-1085
Phone Number
413-858-0119
Fax Number
413-589-0912
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
October 3, 2006
Last Update Date
June 21, 2022
Certification Date
June 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
627 Randall RD
Ludlow, MA 01056-1085
City
Ludlow
Zip
01056-1085
Phone Number
413-858-0119
Fax Number
413-589-0912
Ludlow, MA 01056Get directions →

Provider Business Mailing Address Details

Address
627 Randall RD
Ludlow, MA 01056-1085
City
Ludlow
State
MA
Zip
01056-1085
Phone Number
413-858-0119
Fax Number
413-589-0912

License Information

License Number (1)
001782
License State (1)
CT
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
2143
License State (2)
MA
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · 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 Mr. Stephen Gobeille, PA?

The NPI number of Mr. Stephen Gobeille, PA is 1790870301. It was assigned on October 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Stephen Gobeille, PA?

Mr. Stephen Gobeille, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 001782.

Where does Mr. Stephen Gobeille, PA practice?

The practice location is 627 Randall RD, Ludlow, MA 01056-1085. The office can be reached at 413-858-0119 (phone) or 413-589-0912 (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 1790870301 directly on the NPPES registry website.

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