DR. CLEMENT EMERY LACOSTE (NPI# 1508877630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508877630 |
| Entity Type | Individual |
| Full Name | DR. CLEMENT EMERY LACOSTE |
| Credential | MD |
| Practice Address |
10 N Main St Charlton MA 01507-1590 |
| Mailing Address |
105 Country Club Pl Southbridge MA 01550 |
| Practice Telephone | 5082486780 |
| Practice Fax Number | 5082488134 |
| Mailing Telephone | 5087646026 |
| Mailing Fax Number | 5087647866 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2012-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 26014 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2087863 | 05 |
| Street Address |
10 N MAIN ST |
| City | CHARLTON |
| State | MA |
| Zip Code | 01507-1590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356998587 | Cori Bailey | Nurse Practitioner | 10 N Main St, Charlton, MA 01507-1590 | 2019-08-22 |
| 1568029437 | Kelly Ann Diaz | Physician Assistant | 10 N Main St, Charlton, MA 01507-1590 | 2019-05-24 |
| 1568922334 | Randy Wnuk | Physician Assistant | 10 N Main St, Charlton, MA 01507-1590 | 2019-03-20 |
| 1962914143 | Harpreet Kaur | Nurse Practitioner | 10 N Main St, Charlton, MA 01507-1590 | 2017-10-28 |
| 1558883314 | Hillary Rae Fazio | Nurse Practitioner | 10 N Main St, Charlton, MA 01507-1590 | 2017-07-13 |
| 1679934335 | Traci Ann Mercier | Physician Assistant | 10 N Main St, Charlton, MA 01507-1590 | 2016-03-09 |
| 1093119216 | Rebecca Louise Russo | Nurse Practitioner | 10 N Main St, Charlton, MA 01507-1590 | 2014-10-17 |
| 1285060616 | Zareen Lakhani Barry | Registered Nurse | 10 N Main St, Charlton, MA 01507-1590 | 2013-09-17 |
| 1861838997 | Zachary O Waldon | Physician Assistant | 10 N Main St, Charlton, MA 01507 | 2013-05-15 |
| 1528316544 | Heather C. Sienel | Physician Assistant | 10 N Main St, Charlton, MA 01507-1590 | 2012-08-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179653 | Lissette Hernandez | Counselor | 159 C Worcester Road, Charlton, MA 01507 | 2020-06-23 |
| 1841657426 | Renee M Gomez-chlebica Od LLC | Optometrist | 109-6 Masonic Home Rd., Charlton, MA 01507 | 2016-01-27 |
| 1467728725 | Rebecca Bullock | Occupational Therapist | 11 Sunset Drive, Charlton, MA 01507 | 2012-03-30 |
| 1326347139 | Michelle Beshire | Pharmacist | 188 Center Depot Rd, Charlton, MA 01507 | 2011-03-18 |
| 1063710762 | Daniel R Tetreault | Specialist/Technologist | 70 Hanson Road, Charlton, MA 01507 | 2011-03-03 |
| 1508901828 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 142 Worcester Rd, Charlton, MA 01507 | 2007-02-21 |
| 1780727743 | Peter Maly | Technician/Technologist | 109-6 Masonic Home Road, Charlton, MA 01507 | 2007-02-15 |
| 1083680128 | Mary-elise Smith | Emergency Medicine | 10 North Main Street, Charlton, MA 01507 | 2006-02-28 |
| 1932183241 | Steven V Vachula II | Optometrist | 20 Southbridge Rd, Charlton, MA 01507 | 2005-11-30 |
| 1154304228 | Teddi Bachawaty | Obstetrics & Gynecology | 9 Trolley Crossing Rd, Charlton, MA 01507 | 2005-11-22 |
| Find all providers in zip 01507 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881608602 | Ravindra Pramodray Acharya | Surgery | 10 N Main St, Charlton, MA 01507-1312 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776123 | Dalton Medical Group LLC | Surgery | 352 Main St Unit 6, Falmouth, MA 02540-3175 | 2020-10-07 |
| 1689281610 | Cornell Medical LLC | Surgery | 200 Unicorn Park Dr Ste 302, Woburn, MA 01801-3342 | 2020-09-24 |
| 1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
| 1427546365 | New England Hernia Center LLC | Surgery | 20 Research Pl Ste 130, North Chelmsford, MA 01863-2455 | 2018-04-26 |
| 1255869731 | Yurie Sekigami | Surgery | 800 Washington St, Box 437, Boston, MA 02111-1552 | 2017-05-30 |
| 1194263046 | Wound Care Specialists | Surgery | 785 Williams St # 172, Longmeadow, MA 01106-2063 | 2017-02-10 |
| 1932550670 | Asish C Misra | Surgery | 110 Francis St, Suite 9b, Beth Israel Deaconess - Surgical Education, Boston, MA 02215 | 2016-06-23 |
| 1306295225 | Michael Hong Jr. | Surgery | 100 Jersey St Apt 601, Boston, MA 02215-4806 | 2016-06-10 |
| 1043666548 | North Suburban Surgical Associates | Surgery | 191 Clifton St, Belmont, MA 02478-2603 | 2016-05-13 |
| 1295110971 | Benjamin Grajales Mdpc | Surgery | 50 Memorial Dr Ste 204, Leominster, MA 01453-2238 | 2015-07-23 |
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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.