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Deactivated NPI 1437320355 Deactivated / Inactive NPI Male Practitioner

Michael A Pezzella , PA

Physician Assistant • Boston, MD

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Pezzella has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 19, 2008
NPI Deactivation Date December 05, 2019
Total Practice Duration ~11 Years of Practice (2008 – 2019)

Professional Overview & Biography Verified Profile Summary

Michael Pezzella, PA was a registered Physician Assistant practicing in Boston, MD. Throughout an active medical career spanning 11 years, Michael Pezzella provided care at the practice location at 800 WASHINGTON STREET until profile deactivation on 2019-12-05.

Practice Location & Contact Primary Location

Practice Address

800 Washington Street
#1013

Boston, MD 02111

Telephone 6176365000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Boston, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Boston, MD (3255 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA 385

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Sarah Persing , MD

Plastic Surgery

NPI 1003252727

Doctor of Medicine (M.D.)

Dr. Sharanya Mohanty , MD

Internal Medicine

NPI 1003265984

Doctor of Medicine (M.D.)

Molly Sicard

Physical Therapist

NPI 1003748229
NPI 1003857590

Doctor of Medicine (M.D.)

NPI 1003918954

Doctor of Medicine (M.D.)

Colleen Mcartor , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003948282

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 05, 2019

Record deactivated on December 05, 2019

NPI Profile Active March 19, 2008

NPI status registered as active in NPPES database

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Updated Practice Location March 19, 2008

Registered at 800 WASHINGTON STREET, #1013, BOSTON, MD 02111 (Tel: 6176365000)

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Updated Business Mailing Address March 19, 2008

Registered at 800 WASHINGTON STREET, #1013, BOSTON, MD 02111 (Tel: 6176365000)

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Provider Name / Credentials Updated March 19, 2008

Recorded as MICHAEL PEZZELLA, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2008

Physician Assistant (License #385 in MA)

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Initial NPI Registration & Enumeration March 19, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437320355
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2008
Last Update: March 19, 2008
Deactivation Date: December 05, 2019

Mailing Address

800 Washington Street, #1013

Boston, MD 02111

Phone: 6176365000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.