DR. MILLICENT K CHANNELL (NPI# 1043280159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043280159 |
| Entity Type | Individual |
| Full Name | DR. MILLICENT K CHANNELL |
| Other Name | DR. MILLICENT A KING |
| Credential | D.O. |
| Practice Address |
42 E Laurel Rd Udp #1700 Stratford NJ 08084-1354 |
| Practice Telephone | 8565667010 |
| Practice Fax Number | 8565666956 |
| Mailing Telephone | 8565667010 |
| Mailing Fax Number | 8565666956 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2011-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | MB07492500 | NJ | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MB07492500 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0068381 | 05 |
| Street Address |
42 E LAUREL RD UDP #1700 |
| City | STRATFORD |
| State | NJ |
| Zip Code | 08084-1354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093708067 | Donald R Noll | Internal Medicine | 42 E Laurel Rd, Udp #1800, Stratford, NJ 08084-1354 | 2005-08-25 |
| 1598366528 | Lauren Danzi Brumley | Psychologist | 42 E Laurel Rd, Stratford, NJ 08084-1354 | 2020-11-05 |
| 1144845215 | Nicole Mcandrew | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd, Suite 2600, Stratford, NJ 08084-1354 | 2020-06-14 |
| 1710502919 | Sindhu Krishna Marampudi | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd, Stratford, NJ 08084-1354 | 2020-06-12 |
| 1891310025 | Valentina Leeann Delsignore | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd, Stratford, NJ 08084-1354 | 2020-06-12 |
| 1639791239 | Chelsea Kilmer | Case Manager/Care Coordinator | 42 E Laurel Rd, Stratford, NJ 08084-1354 | 2020-05-18 |
| 1588293419 | Katee M O'malley | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd, Stratford, NJ 08084-1354 | 2020-04-02 |
| 1114553500 | Zachary Manna | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd, Stratford, NJ 08084-1354 | 2020-03-17 |
| 1285295485 | Timsal Ghani | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd, Stratford, NJ 08084-1354 | 2019-06-27 |
| 1548821606 | Whitney Kelly | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd, Stratford, NJ 08084-1354 | 2019-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780209684 | Emily Lacount | Student in an Organized Health Care Education/Training Program | Louis Balsama, D.o., Program Director, Rowansom 42 E. Laurel Rd, Stratford, NJ 08084 | 2020-06-16 |
| 1356903124 | Maziyar Daneshvar | Student in an Organized Health Care Education/Training Program | Rowansom 42 E Laurel Road, Suite 3100, Philadelphia, NJ 08084 | 2019-07-02 |
| 1598321788 | Sylvia Orozco Silberman | Student in an Organized Health Care Education/Training Program | Fm: Alison Mancuso, Do, Prog Dir, Rowansom 42 E Laurel Road, Suite 2100a, Stratford, NJ 08084 | 2019-05-14 |
| 1831682939 | Shriya Jakkidi Reddy | Student in an Organized Health Care Education/Training Program | Rowansom 42 E. Laurel Road, Suite 3100, Stratford, NJ 08084 | 2018-06-13 |
| 1003336751 | Maulik D Shah | Student in an Organized Health Care Education/Training Program | 42 East Laurel Rd, Suite 3100, Stratford, NJ 08084 | 2017-06-23 |
| 1225566946 | Bhumi Shah | Student in an Organized Health Care Education/Training Program | 18 E Laurel Road, Em: Anthony Dipasquale, Do, Prog Dir, Rowansom, Stratford, NJ 08084 | 2017-05-25 |
| 1902259393 | Ameena Javed Jiwani | Family Medicine | Rowan Som 42 E Laurel Road, Ste. 2100a, Stratford, NJ 08084 | 2016-07-20 |
| 1104276823 | Akshay Sridhar | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Suite 162, Stratford, NJ 08084 | 2016-06-14 |
| 1144692138 | Amanda Wu | Physical Therapist | 1255 Caldewell Road, Cherry Hill, NJ 08084 | 2015-10-29 |
| 1215313010 | Nathaniel Paul Havens | Student in an Organized Health Care Education/Training Program | 42 E. Laurel Rd., Suite 2100a, Stratford, NJ 08084 | 2015-08-04 |
| Find all providers in zip 08084 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942615059 | Catherine Mary Fusco | Neuromusculoskeletal Medicine & OMM | 42 E Laurel Rd Ste 1700, Stratford, NJ 08084-1354 | 2014-06-26 |
| 1053514653 | Scott Evan Spagnolo-hye | Neuromusculoskeletal Medicine & OMM | 42 E Laurel Rd, Udp #1700, Stratford, NJ 08084-1354 | 2007-06-09 |
| 1609806454 | David Scott Abend | Neuromusculoskeletal Medicine & OMM | 42 E Laurel Rd, Suite 1700, Stratford, NJ 08084-1354 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487982583 | Charles Steiner Inc. | Neuromusculoskeletal Medicine & OMM | 467 Valley St, L-h, Maplewood, NJ 07040-1306 | 2009-12-01 |
| 1235361320 | Olha Sokhan | Neuromusculoskeletal Medicine & OMM | 210 Fairview Ave, Rutherford, NJ 07070-1651 | 2009-08-21 |
| 1922202738 | Robert B Kelly | Neuromusculoskeletal Medicine & OMM | 823 Lacey Rd, Forked River, NJ 08731-1203 | 2007-06-14 |
| 1174742704 | Shawn Tepper-levine | Neuromusculoskeletal Medicine & OMM | 20 Heathcote Road, Kingston, NJ 08528-0142 | 2007-04-24 |
| 1366401945 | Abraham D. Morganoff | Neuromusculoskeletal Medicine & OMM | 5 Mountain Blvd, Warren, NJ 07059-5650 | 2006-03-21 |
| 1215902325 | John A Infantolino | Neuromusculoskeletal Medicine & OMM | 5 Princeton Ave, Brick, NJ 08724-3515 | 2006-02-22 |
| 1851390199 | Mark Maccollom Morris | Neuromusculoskeletal Medicine & OMM | 26 Millburn Ave, Springfield, NJ 07081-1071 | 2005-07-19 |
| 1487996062 | Dorothy Marie Klingmeyer | Neuromusculoskeletal Medicine & OMM | 435 South St, Suite 220a, Morristown, NJ 07960-6422 | 2013-03-21 |
| 1750628160 | Physical Medicine and Rehabilitation Services | Neuromusculoskeletal Medicine & OMM | 191 Palisade Ave, Jersey City, NJ 07306-1112 | 2013-01-07 |
| 1366792616 | Brett Picciotti | Neuromusculoskeletal Medicine & OMM | 1907 Greentree Rd, Cherry Hill, NJ 08003-1112 | 2012-09-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.