RONALD C PRUETT (NPI# 1437275369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437275369 |
| Entity Type | Individual |
| Full Name | RONALD C PRUETT |
| Credential | MD |
| Practice Address |
669 Main St Wakefield MA 01880-5200 |
| Mailing Address |
69 West St Beverly MA 01915-2227 |
| Practice Telephone | 7812455200 |
| Mailing Telephone | 9789221317 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 28330 | MA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0170518 | 05 |
| Street Address |
669 MAIN ST |
| City | WAKEFIELD |
| State | MA |
| Zip Code | 01880-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982655643 | C. Douglas Evans | Ophthalmology | 669 Main St, Wakefield, MA 01880-5200 | 2006-05-15 |
| 1942737226 | North Suburban Eye Associates LLC | Ophthalmology | 669 Main St, Wakefield, MA 01880-5221 | 2017-05-17 |
| 1083073076 | North Suburban Eye Associates | Ophthalmology | 669 Main St, Wakefield, MA 01880-5221 | 2016-02-18 |
| 1073949061 | Andrea Farber | Optometrist | 669 Main St, Wakefield, MA 01880-5221 | 2013-09-23 |
| 1669818746 | North Suburban Eye Associates | Ophthalmology | 669 Main St, Wakefield, MA 01880-5221 | 2013-05-16 |
| 1982965943 | Fei Siu | Optometrist | 669 Main St, Wakefield, MA 01880-5221 | 2012-06-06 |
| 1407186992 | North Suburban Eye Associates | Ophthalmology | 669 Main St, Wakefield, MA 01880-5221 | 2010-01-05 |
| 1336300235 | Rita A Cherian | Optometrist | 669 Main St, Wakefield, MA 01880-5221 | 2008-06-23 |
| 1942351994 | North Suburban Eye Associates PC | Optometrist | 669 Main St, Wakefield, MA 01880-5200 | 2007-01-16 |
| 1649321399 | Renell Sinha | Optometrist | 669 Main St, Wakefield, MA 01880-5200 | 2007-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497314520 | The Speech Therapy Center | Speech-Language Pathologist | 94 Parker Rd, Wakefield, MA 01880 | 2019-06-12 |
| 1720555774 | Brenda Joyce Baylis | Doula | 4 Foster Street, Wakefield, MA 01880 | 2018-10-29 |
| 1912473521 | Cathy Dowen | Internal Medicine | 607 North Avenue Door 17, Wakefield, MA 01880 | 2018-10-22 |
| 1376035824 | Moira Mcnabb-o'connell | Behavioral Analyst | 607 North Ave Door 11 2nd Floor, Wakefield, MA 01880 | 2018-05-31 |
| 1548785215 | Brightview Wakefield, LLC | Alzheimer Center (Dementia Center) | 21 Crescent Street, Wakefield, MA 01880 | 2017-08-03 |
| 1982125050 | Ashley Rose Sullivan | Behavioral Analyst | 607 North Ave., Door 11, Second Floor, Wakefield, MA 01880 | 2017-06-29 |
| 1659728202 | Michelle Tomczyk | Behavioral Analyst | 301 Edgewater Place, Suite 100, Wakefield, MA 01880 | 2016-05-24 |
| 1104204353 | Logistic Transportation LLC | Taxi | 301 Edgewater Pl 100, Wakefield, MA 01880 | 2015-05-08 |
| 1184042830 | Kimberly Bliss Parent | Massage Therapist | 591 North Avenue, Doo 4, Wakefield, MA 01880 | 2014-03-31 |
| 1457792541 | Maura A Racamato | Community Health Worker | 10 Thistledale Rd, Wakefield, MA 01880 | 2013-07-17 |
| Find all providers in zip 01880 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760763262 | Evangeline Brown | Specialist | 7 Lincoln St Ste 200, Wakefield, MA 01880-3033 | 2011-08-30 |
| 1710162730 | Raza Hassan Md Inc | Specialist | 105 Stoneway Rd, Wakefield, RI 02879-3969 | 2008-01-09 |
| 1073729133 | Kara Mckenna Biller | Specialist | 153 School St, Wakefield, RI 02879-3219 | 2007-05-15 |
| 1598970576 | Audrey Ann Goforth | Specialist | 607 North Ave Ste 12, Wakefield, MA 01880-1307 | 2007-05-11 |
| 1710083043 | Shoeline Surgical Associates, Inc. | Specialist | 70 Kenyon Ave Unit 325, Wakefield, RI 02879-4253 | 2006-09-15 |
| 1922051481 | Hand and Plastic Surgery Specialists,inc | Specialist | 300 Quannapowitt Pkwy, Wakefield, MA 01880-1314 | 2006-05-18 |
| 1033113477 | Guy A.e. Geffroy | Specialist | 500 Sycamore Ln, Wakefield, RI 02879-5327 | 2005-06-13 |
| 1639313695 | Kristin Pepe | Specialist | 55 Village Square Dr, Wakefield, RI 02879-8248 | 2009-04-21 |
| 1972709038 | Susan Judith Krikorian | Specialist | 607 North Ave, #14, Wakefield, MA 01880-1306 | 2007-06-26 |
| 1649359704 | Elizabeth Conklin | Specialist | 70 Kenyon Ave, Ste 325, Wakefield, RI 02879-4239 | 2006-11-02 |
| Find all providers in WAKEFIELD | ||||
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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.