Active NPIIndividual provider

Alyse Gonzales, PA

Physician Assistant, Medical in Springfield, Massachusetts

NPI Number1992170336
Practice location
3500 Main St Ste 201, Springfield, MA 01107-1150
Fax
413-794-2996
Last updated
February 11, 2022

Alyse Gonzales is a Physician Assistant, Medical based in Springfield, MA. Alyse Gonzales practices in Springfield, MA and has the professional credentials of PA. The NPI Number for Alyse Gonzales is 1992170336 and holds a License No. 5601007634 (MI). The current practice location address for Alyse Gonzales is 3500 Main St Ste 201, Springfield, MA 01107-1150 and can be reached out via phone at 413-794-0900 and via fax at 413-794-2996.

Provider Profile Details

NPI Number
1992170336
Provider Name
Alyse Gonzales
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3500 Main St Ste 201, Springfield, MA 01107-1150
Phone Number
413-794-0900
Fax Number
413-794-2996
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Other Names
Alyse Oryan (Former Name)
Provider Enumeration Date
December 10, 2015
Last Update Date
February 11, 2022
Certification Date
February 11, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
3500 Main St Ste 201
Springfield, MA 01107-1150
Zip
01107-1150
Phone Number
413-794-0900
Fax Number
413-794-2996
Springfield, MA 01107Get directions →

Provider Business Mailing Address Details

Address
280 Chestnut St Fl 2
Springfield, MA 01199-1001
City
Springfield
State
MA
Zip
01199-1001
Phone Number
413-794-5700

License Information

License Number (1)
5601007634
License State (1)
MI
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA8390
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 Alyse Gonzales, PA?

The NPI number of Alyse Gonzales, PA is 1992170336. It was assigned on December 10, 2015 and is currently active in the NPPES registry.

What is the specialty of Alyse Gonzales, PA?

Alyse Gonzales, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MI under license number 5601007634.

Where does Alyse Gonzales, PA practice?

The practice location is 3500 Main St Ste 201, Springfield, MA 01107-1150. The office can be reached at 413-794-0900 (phone) or 413-794-2996 (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 1992170336 directly on the NPPES registry website.

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