Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jon Michael Champagne, PA-C

Individual provider Physician Assistant · NPI 1376098483

Mr. Jon Michael Champagne, PA-C is a Physician Assistant in West Roxbury, Massachusetts. Works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2016
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1400 Vfw Pkwy
West Roxbury, MA 02132-4927
Phone: (479) 409-1310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 30 Avon St, Somerville, MA 02143-1602 — (479) 409-1310

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA5842 (MA)
Physician Assistant Taxonomy 363A00000X · Licence PA5842 (MA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA5842 (MA)

Record details

NPI number1376098483
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 18, 2016
Last updated in NPPESMay 17, 2021
Certification dateApril 29, 2021

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