Healthcare Provider Details

I. General information

NPI: 1376293589
Provider Name (Legal Business Name): SARA NIGRO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARA KARR

II. Dates (important events)

Enumeration Date: 03/29/2022
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 MEDICAL CENTER DR STE 512
SPRINGFIELD MA
01107-1273
US

IV. Provider business mailing address

280 CHESTNUT STREET 2ND FLOOR
SPRINGFIELD MA
01199-1001
US

V. Phone/Fax

Practice location:
  • Phone: 413-794-5550
  • Fax: 413-794-4212
Mailing address:
  • Phone: 413-794-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA100775
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number005670
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: