DR. HENRY R VAILLANCOURT (NPI# 1093770059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093770059 |
| Entity Type | Individual |
| Full Name | DR. HENRY R VAILLANCOURT |
| Credential | MD |
| Practice Address |
1030 President Ave Suite 104 Southcoast Physician Services Inc Fall River MA 02720-5923 |
| Practice Telephone | 5086763411 |
| Practice Fax Number | 5082356656 |
| Mailing Telephone | 5086763411 |
| Mailing Fax Number | 5082356656 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 42866 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BLUE SHIELD | 0000025599 | 01 |
| MA | UNITED HEALTHCARE | 0101462 | 01 |
| MA | HARVARD PILGRIM | 60417 | 01 |
| MA | BLUE SHIELD | K08341 | 01 |
| MA | TUFTS | 764242 | 01 |
| RI | BLUE CHIP | 004393 | 01 |
| MA | BMC HEALTHNET | 000000021256 | 01 |
| MA | 2069199 | 05 | |
| MA | HEALTHSOURCE | 3684748 | 01 |
| MA | NEIGHBORHOOD HEALTHPLAN | 0016215 | 01 |
| MA | CIGNA | B10491301 | 01 |
| Street Address |
1030 PRESIDENT AVE SUITE 104 SOUTHCOAST PHYSICIAN SERVICES INC |
| City | FALL RIVER |
| State | MA |
| Zip Code | 02720-5923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497757678 | Patrick J Curran | Internal Medicine | 1030 President Ave, Suite 3001, Fall River, MA 02720-5923 | 2005-06-01 |
| 1861039455 | Health Care Pharmacy Inc | Pharmacy | 1030 President Ave, Fall River, MA 02720-5923 | 2019-12-03 |
| 1619456555 | Natasha Noemia Cabral | Nurse Practitioner | 1030 President Ave, Fall River, MA 02720-5923 | 2018-08-10 |
| 1477083061 | Joann Chang | Internal Medicine | 1030 President Ave, Fall River, MA 02720-5923 | 2017-06-15 |
| 1346634052 | Southcoast Physicians Group, Inc. | Internal Medicine | 1030 President Ave, Suite 110, Fall River, MA 02720-5923 | 2015-03-20 |
| 1174862643 | Amy Kotouch | Podiatrist | 1030 President Ave, Suite 116, Fall River, MA 02720-5923 | 2013-02-04 |
| 1578809182 | Melanie Ann Daignault | Nurse Practitioner | 1030 President Ave, Suite 1001, Fall River, MA 02720-5923 | 2012-12-31 |
| 1154678233 | Erika Q Espindle | Nurse Practitioner | 1030 President Ave, Ste 1004, Fall River, MA 02720-5923 | 2012-08-08 |
| 1497001614 | Kristen Eugley Merrill | Nurse Practitioner | 1030 President Ave, Ste 3001, Fall River, MA 02720-5923 | 2012-07-25 |
| 1225398217 | Veronica Bernardo | Pediatrics | 1030 President Ave, Suite 2001, Fall River, MA 02720-5923 | 2012-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960264 | Robert Walsh | Massage Therapist | 275 High Street, 1st Floor Rear, Fall River, MA 02720 | 2020-04-10 |
| 1487147252 | Patricia Mateus Peterson | Social Worker | 1561 N Main Street, Fall River, MA 02720 | 2018-06-07 |
| 1669980371 | Jolita Perez | Home Health Aide | 92 Hanover St Apt 2, Fall River, MA 02720 | 2018-01-16 |
| 1023537305 | Rebekah Shermer Woolf | Counselor | 1082 Davol St., Fall River, MA 02720 | 2017-09-18 |
| 1467977843 | Elena Amelia Cetola | Nurse Practitioner | 38 Rock St Ste 2, Fall River, MA 02720 | 2017-08-07 |
| 1477903128 | Rebecca Anne Weller | Counselor | 1082 Davol St, Fall River, Ma 02720, Fall River, MA 02720 | 2016-06-14 |
| 1811358773 | Tiana Vidal | Counselor | 1082 N Davol St., Fallriver, MA 02720 | 2016-03-18 |
| 1477925907 | David Vega | Counselor | 1082 N Davol St, Fall River, MA 02720 | 2015-10-23 |
| 1235537473 | Desire Hendricksmoreno | Counselor | 279 North Main Street, Fall River, MA 02720 | 2014-12-19 |
| 1801294160 | Rebecca Bergeron | Counselor | 1080 Davol Street, Suite 202, Fall River, MA 02720 | 2014-12-18 |
| Find all providers in zip 02720 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966806 | Eliana Decastro Cuellar | Family Medicine | 1030 President Ave Ste 1001, Fall River, MA 02720-5923 | 2020-09-12 |
| 1235646332 | Southcoast Physicians Group, Inc. | Family Medicine | 374 William S Canning Blvd, Fall River, MA 02721-2352 | 2018-01-10 |
| 1881008324 | Jacqueline Tessa Draper | Family Medicine | 1030 President Ave Ste 1004, Fall River, MA 02720-5923 | 2014-06-12 |
| 1578780060 | Kimberly Ann Zeller | Family Medicine | 387 Quarry St Ste 100, Fall River, MA 02723-1026 | 2007-04-19 |
| 1467526228 | Ashok Shah | Family Medicine | 397 Rodman St, Fall River, MA 02721 | 2006-11-20 |
| 1831121383 | Jessica C. Inwood | Family Medicine | 300 Hanover St Ste 1f, Fall River, MA 02720-5451 | 2006-07-07 |
| 1326094905 | Trumed Incorporated | Family Medicine | 528 Newton St, Fall River, MA 02721-2366 | 2006-05-26 |
| 1104893155 | Lucia Dias-hoff | Family Medicine | 277 Pleasant Street - Ste 301, Prima Care, PC, Fall River, MA 02721 | 2006-03-08 |
| 1376523621 | Michael A Campbell | Family Medicine | 191 Bedford St, Millview Medical Associates, 5th Flr, Fall River, MA 02720-3011 | 2006-01-20 |
| 1508850975 | Jesus Sosa | Family Medicine | 1010 S Main St, Fall River, MA 02724-2855 | 2005-08-31 |
| Find all providers in FALL RIVER | ||||
| City | FALL RIVER |
| Zip Code | 02720 |
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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.