Individual provider · Type 1 NPI

Melanie Jean Koumentakos, PA C

Physician Assistant · Agawam, MA

NPI number 1295925956 Active

Practice location

200 Silver St Unit 106
Agawam, MA 01001-3067

Call (413) 341-5350 Map

Fax (413) 341-5335

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X001905 (CT)

Physician Assistant: 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, orde…

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About NPI 1295925956

Melanie Jean Koumentakos, PA C's National Provider Identifier is 1295925956, issued on Jul 30, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Agawam, MA. The record was last updated on Apr 13, 2026.