Individual provider · Type 1 NPI

Oleg S. Yermakov, PA

Medical Physician Assistant · Springfield, MA

NPI number 1831577303 Active

Practice location

3300 Main St, 3rd Floor, Suite C&d
Springfield, MA 01199-1619

Call (413) 794-7033 Map

Fax (413) 794-7297

Mailing address

280 Chestnut St Fl 2
Springfield, MA 01199-1001

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5466 (MA)

Medical Physician Assistant: Definition to come...

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About NPI 1831577303

Oleg S. Yermakov, PA's National Provider Identifier is 1831577303, issued on May 15, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Springfield, MA. The record was last updated on Jun 23, 2026.