Active NPIIndividual provider

Gabriel P Kondrotas, PA-C, ATC

Physician Assistant in Barre, Massachusetts

NPI Number1821664426
Practice location
179 Everett RD, Barre, MA 01005-8944
Fax
—
Last updated
June 3, 2021

Gabriel Paul Kondrotas is a Physician Assistant based in Barre, MA. Gabriel Paul Kondrotas practices in Barre, MA and has the professional credentials of PA-C, ATC. The NPI Number for Gabriel Paul Kondrotas is 1821664426 and holds a License No. 2912 (MA). The current practice location address for Gabriel Paul Kondrotas is 179 Everett RD, Barre, MA 01005-8944 and can be reached out via phone at 978-551-5645.

Provider Profile Details

NPI Number
1821664426
Provider Name
Gabriel Paul Kondrotas
Credential
PA-C, ATC
Provider Entity Type
Individual
Gender
Male
Address
179 Everett RD, Barre, MA 01005-8944
Phone Number
978-551-5645
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 3, 2021
Last Update Date
June 3, 2021
Certification Date
June 3, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
179 Everett RD
Barre, MA 01005-8944
City
Barre
Zip
01005-8944
Phone Number
978-551-5645
Barre, MA 01005Get directions →

Provider Business Mailing Address Details

Address
Po Box 698
Barre, MA 01005-0698
City
Barre
State
MA
Zip
01005-0698
Phone Number
978-551-5645

License Information

License Number (1)
2912
License State (1)
MA
Taxonomy (2)
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 Gabriel P Kondrotas, PA-C, ATC?

The NPI number of Gabriel P Kondrotas, PA-C, ATC is 1821664426. It was assigned on June 3, 2021 and is currently active in the NPPES registry.

What is the specialty of Gabriel P Kondrotas, PA-C, ATC?

Gabriel P Kondrotas, PA-C, ATC is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number 2912.

Where does Gabriel P Kondrotas, PA-C, ATC practice?

The practice location is 179 Everett RD, Barre, MA 01005-8944. The office can be reached at 978-551-5645 (phone).

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 1821664426 directly on the NPPES registry website.

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