MEDICARE: ALISON JOHNSON PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	001341	CT
2	363A00000X	Physician Assistant	PA1543	MA

General Provider Information

NPI Number	:	1730181355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON JOHNSON PA

Provider Business Mailing Address
First Line	:	280 CHESTNUT ST
Second Line	:	2ND FLOOR
City	:	SPRINGFIELD
State	:	MA
Zip	:	01199-1001
Country	:	US
Telephone Number	:	413-794-5700
Fax Number	:	413-794-1629

Provider Business Practice Location Address
First Line	:	3350 MAIN STREET
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01107-1112
Country	:	US
Telephone Number	:	413-794-9338
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	04/21/2025

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Directions to “ ALISON JOHNSON PA” Practice Location

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