RUSSELL W COURNOYER JR. (NPI# 1427030378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427030378 |
| Entity Type | Individual |
| Full Name | RUSSELL W COURNOYER JR. |
| Credential | DPM |
| Practice Address |
5 Neponset St Worcester MA 01606-2714 |
| Mailing Address |
5 Neponset St Fl Street12 Worcester MA 01606-2714 |
| Practice Telephone | 5088569181 |
| Practice Fax Number | 5084256177 |
| Mailing Telephone | 5088569181 |
| Mailing Fax Number | 5084256177 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2018-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1767 | MA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE SHIELD HMO BLUE | Y70910 | 01 | |
| MEDICARE B | Y70847 | 01 | |
| BLUE CARE ELECT | Y70910 | 01 | |
| BLUE SHIELD INDEMNITY | Y70910 | 01 | |
| MEDICAID/WELFARE | 0362093 | 01 | |
| HARVARD PILGRIM HEALTHCAR | AA2838 | 01 | |
| RAILROAD MEDICARE | 480026268 | 01 | |
| PRIVATE HEALTHCARE SYSTEM | 042472266 | 01 | |
| CHILDRENS MED SECURITY PL | 26734 | 01 | |
| HEALTHY START | 26734 | 01 | |
| AETNA/US HEALTHCARE | 7042342 | 01 | |
| MVP HEALTH CARE | 785949 | 01 | |
| FALLON COMMUNITY HLTH PL | 9900050 | 01 | |
| TRICARE/CHAMPUS | 042472266 | 01 | |
| THREE RIVERS | 042472266 | 01 | |
| CIGNA PAL ID | 4886875 | 01 | |
| FIRST HEALTH | 965657 | 01 | |
| ONE HEALTH PLAN | 042472266 | 01 |
| Street Address |
5 NEPONSET ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01606-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203856 | Thomas Lee Rosenfeld | Dermatology | 5 Neponset St, Worcester, MA 01606-2714 | 2005-05-24 |
| 1831708841 | Lucy Kirakous | Nurse Practitioner | 5 Neponset St, Worcester, MA 01606-2714 | 2020-07-26 |
| 1174157259 | Krystal Leblanc | Social Worker | 5 Neponset St, Worcester, MA 01606-2714 | 2020-02-27 |
| 1124664313 | Kedeshia Malin | Nurse Practitioner | 5 Neponset St, Worcester, MA 01606-2714 | 2019-11-21 |
| 1730627472 | Jessica E. Valletta | Nurse Practitioner | 5 Neponset St, Worcester, MA 01606-2714 | 2017-02-02 |
| 1447700182 | Margaret Tu-anh Nguyen | Nurse Practitioner | 5 Neponset St, Worcester, MA 01606-2714 | 2016-10-06 |
| 1922551746 | Danielle N. Lawrence | Nurse Practitioner | 5 Neponset St, Worcester, MA 01606-2714 | 2016-07-28 |
| 1679929004 | Samuel Schieffelin Nordberg | Psychologist | 5 Neponset St, Worcester, MA 01606-2714 | 2016-05-04 |
| 1225496938 | Quynh V. Tu | Dietitian, Registered | 5 Neponset St, Worcester, MA 01606-2714 | 2016-02-09 |
| 1295105476 | Justin Hall | Physician Assistant | 5 Neponset St, Worcester, MA 01606-2714 | 2015-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548742612 | Aishea Irine Henry | Counselor | 29 E. Mountian St., Worccester, MA 01606 | 2018-09-05 |
| 1932689874 | Donna Kesler Pearce | Social Worker | Department of Children and Families, 151 West Boylston Drive, Worcester, MA 01606 | 2018-08-20 |
| 1689169914 | Ashley Kalel | Social Worker | 151 W Boylston Dr, Worcester, MA 01606 | 2018-06-28 |
| 1588189039 | Michael Joseph Peters Sr. | Counselor | 56 Malden St, Worcester, MA 01606 | 2017-08-06 |
| 1811418528 | Shan Rai | Social Worker | 29 East Mountain Street, Worcester, MA 01606 | 2017-07-03 |
| 1639608045 | Kim Marie Ceccarini | Case Manager/Care Coordinator | 11 Delaval Rd, Worcester, MA 01606 | 2017-06-08 |
| 1669806139 | Lauren Giuliano | Counselor | 392 Burncoat St, Worcester, MA 01606 | 2013-09-02 |
| 1508132911 | Joshua D Zierler-broudo | Social Worker | 29 East Mountain St, Worcester, MA 01606 | 2012-03-29 |
| 1609096098 | Alternatives Unlimited Inc | Day Training, Developmentally Disabled Services | 367 Burncoat Street, Worcester, MA 01606 | 2007-04-26 |
| 1407908213 | Class One Orthodontic Asso LLC | Dentist | 365 Burncoat St, Worcester, MA 01606 | 2007-01-18 |
| Find all providers in zip 01606 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679885610 | Suneeta Siddapureddy | Podiatrist | 2060 S Valley Forge Rd., Worcester, PA 19490 | 2010-07-07 |
| 1689709578 | Joseph M. Laconte, D.p.m.,inc. | Podiatrist | 340 Plantation St, Worcester, MA 01604-1637 | 2007-02-22 |
| 1003141029 | Jennifer Lynne Pappalardo | Podiatrist | 123 Summer St, Department of Podiatry, Worcester, MA 01608-1216 | 2009-10-08 |
| 1952382467 | Henry K Henczel | Podiatrist | 5 Neponset St, Worcester, MA 01606-2714 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568096261 | East Point Foot & Ankle PC | Podiatrist | 250 N Main St Ste 102, E Longmeadow, MA 01028-1834 | 2020-03-03 |
| 1144705443 | Bay State Foot & Ankle Specialists, LLC | Podiatrist | 380 Lowell St Ste 102, Wakefield, MA 01880-1984 | 2018-10-02 |
| 1396230298 | Samuel Caine | Podiatrist | 732 Harrison Ave Fl 5, Boston, MA 02118-2309 | 2018-06-25 |
| 1467982413 | Navicular LLC | Podiatrist | 140 Park St Ste 1, Attleboro, MA 02703-8048 | 2017-06-13 |
| 1669904140 | Zachary Sax | Podiatrist | 264 Beacon St Fl 2, Boston, MA 02116-1236 | 2017-04-03 |
| 1215488937 | Brian D Tedesco, Dpm & George A Abboud, Dpm PC | Podiatrist | 30 Newcrossing Road, Suite 311, Reading, MA 01867 | 2016-10-18 |
| 1487107769 | Chih Kang David Liou | Podiatrist | 10 Beacon St, Somerville, MA 02143-4311 | 2016-08-03 |
| 1477905446 | Erik Henriksen | Podiatrist | 116 Court St Ste 3, Plymouth, MA 02360-8710 | 2016-07-01 |
| 1922459973 | Kelly Noonan | Podiatrist | 451 Andover St Ste 209, North Andover, MA 01845 | 2016-06-30 |
| 1831503549 | Julie Riley | Podiatrist | 409 Pond St Ste 3, Braintree, MA 02184-6853 | 2014-06-20 |
| Find all providers with the same taxonomy | ||||
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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.