DR. KSENIA N TONYUSHKINA (NPI# 1316130941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316130941 |
| Entity Type | Individual |
| Full Name | DR. KSENIA N TONYUSHKINA |
| Credential | MD |
| Practice Address |
50 Wason Ave 1st Fl Springfield MA 01107-1274 |
| Mailing Address |
280 Chestnut Street 2nd Floor Springfield MA 01199-1001 |
| Practice Telephone | 4137945437 |
| Practice Fax Number | 4137940395 |
| Mailing Telephone | 4137945700 |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2019-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
234486 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
50 WASON AVE 1ST FL |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265413009 | Anastasios G Angelides | Pediatrics | 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 | 2005-11-09 |
| 1932727203 | Georgianna Rose Shea | Nurse Practitioner | 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 | 2020-07-13 |
| 1588118350 | Courtney Manning | Genetic Counselor, MS | 50 Wason Ave, Springfield, MA 01107-1274 | 2016-08-10 |
| 1457708455 | Samantha Mccarthy | Dietitian, Registered | 50 Wason Ave, Springfield, MA 01107-1274 | 2016-05-19 |
| 1881057800 | Baystate Developmental Behavioral Pediatrics | Psychologist | 50 Wason Ave, 1st. Floor, Springfield, MA 01107-1274 | 2016-03-29 |
| 1912370438 | Brenda Peters | Behavioral Analyst | 50 Wason Ave, Springfield, MA 01107-1132 | 2015-11-05 |
| 1053795351 | Shayl Griffith | Student in an Organized Health Care Education/Training Program | 50 Wason Ave, Springfield, MA 01107-1132 | 2015-07-16 |
| 1043620859 | Lisa Laprade | Dietitian, Registered | 50 Wason Ave, 1st Floor, Springfield, MA 01107-1132 | 2014-05-01 |
| 1245650225 | Baystate Pharmacy | Pharmacy | 50 Wason Ave, Springfield, MA 01107-1132 | 2014-04-17 |
| 1669898565 | Ruth Kurniawati | Physician Assistant | 50 Wason Ave, Springfield, MA 01107-1132 | 2014-03-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891137394 | Ahmed Mohamed Torky | Pediatrics | 301 N 8th St Ste 3a169, Springfield, IL 62701-1041 | 2013-07-24 |
| 1558909564 | Lester E Cox Medical Centers | Pediatrics | 1011 E Montclair St, Springfield, MO 65807-5075 | 2019-12-20 |
| 1184068082 | Sarah E Laurenzano | Pediatrics | 11 Wilbraham Rd, Springfield, MA 01109-3161 | 2013-04-22 |
| 1013166974 | Rushika M Conroy | Pediatrics | 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 | 2008-09-16 |
| 1831362094 | Julio Pardo | Pediatrics | 301 N 8th St, Suite Pav 4a, Springfield, IL 62701-1041 | 2008-04-09 |
| 1649486010 | Chelsea C Gordner | Pediatrics | 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 | 2007-05-15 |
| 1689765877 | Edward O Reiter | Pediatrics | 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 | 2006-09-27 |
| 1750308201 | Rebecca P Green | Pediatrics | 350 W Carpenter St, Springfield, IL 62702-4902 | 2006-07-17 |
| 1992733281 | I David Schwartz | Pediatrics | 1965 S Fremont Ave, Suite 260, Springfield, MO 65804-2201 | 2006-06-28 |
| 1811940737 | Charlotte M Boney | Pediatrics | 50 Wason Ave, Springfield, MA 01107-1274 | 2006-05-19 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
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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.