MICHELLE MARIE COURNOYER (NPI# 1568605426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568605426 |
| Entity Type | Individual |
| Full Name | MICHELLE MARIE COURNOYER |
| Credential | P.A.-C. |
| Practice Address |
20 Hope Ave Suite G06 Waltham MA 02453-2721 |
| Practice Telephone | 7818942996 |
| Practice Fax Number | 7816475996 |
| Mailing Telephone | 7818942996 |
| Mailing Fax Number | 7816475996 |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 449 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417565789 | Michelle Cournoyer | Counselor | 4977 Northcutt Pl, Dayton, OH 45414-3839 | 2020-07-22 |
| Street Address |
20 HOPE AVE SUITE G06 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453-2721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881697050 | Solomon A Gabbay | Internal Medicine | 20 Hope Ave, Ste 206, Waltham, MA 02453-2717 | 2005-05-23 |
| 1922422385 | Brianna Bach | Counselor | 20 Hope Ave, Waltham, MA 02453-2721 | 2014-02-05 |
| 1538409727 | Gigi N. Girgis, M.d. | Specialist | 20 Hope Ave, Suite 203, Waltham, MA 02453-2721 | 2013-02-25 |
| 1649515131 | Putnoi Eye Care, P.C. | Ophthalmology | 20 Hope Ave, Suite 212, Waltham, MA 02453-2721 | 2012-12-10 |
| 1538455175 | Nadarron Amritanand-fort | Nurse Practitioner | 20 Hope Ave, Waltham, MA 02453-2721 | 2011-06-22 |
| 1114217171 | Marybeth Ann Mills | Spec/Tech, Cardiovascular | 20 Hope Ave, Suite 204, Waltham, MA 02453-2721 | 2011-04-12 |
| 1033409057 | First Response Clinical Services, LLC | Clinic/Center | 20 Hope Ave, Suite 204, Waltham, MA 02453-2721 | 2011-04-11 |
| 1629370622 | Watch City Optical | Eyewear Supplier (Equipment, not the service) | 20 Hope Ave, Waltham, MA 02453-2721 | 2010-11-23 |
| 1205008141 | Wissam Khoory, Md,pc | Internal Medicine | 20 Hope Ave, Suite G03, Waltham, MA 02453-2721 | 2008-04-01 |
| 1518144252 | Twinbrook Urological Associates Inc. | Urology | 20 Hope Ave, Suite 204, Waltham, MA 02453-2721 | 2008-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977645 | Victor Luu | Physician Assistant | 123 Adams St Apt 1, Waltham, MA 02453-4032 | 2020-09-23 |
| 1528430337 | Alicia Longani | Physician Assistant | 1019 Trapelo Rd, Waltham, MA 02452-5002 | 2015-10-20 |
| 1538390943 | Kathryn Sheppard | Physician Assistant | Mgh West- Corrigan Minehan Heart Center, 40 Second Avenue, Suite 520, Waltham, MA 02451 | 2009-08-03 |
| 1992856801 | Jeremy J Burkett | Physician Assistant | 131 Lincoln St, Waltham, MA 02451-2198 | 2007-01-16 |
| 1205396074 | Stephen Wright | Physician Assistant | 840 Winter St, Waltham, MA 02451 | 2019-03-20 |
| 1053764597 | Kayla Carnell | Physician Assistant | 1030 Main St, Waltham, MA 02451-7447 | 2016-07-20 |
| 1992190748 | Kiet T. Le | Physician Assistant | 840 Winter St, Waltham, MA 02451-1433 | 2015-03-30 |
| 1396147856 | Sarah Marie Rice | Physician Assistant | 840 Winter St, Attn: Boston Sports & Shoulder Center, Waltham, MA 02451-1433 | 2014-09-16 |
| 1801004536 | Gina Weinrebe | Physician Assistant | 950 Winter St, Waltham, MA 02451-1424 | 2007-05-18 |
| 1639261290 | Irene Ghobrial | Physician Assistant | 840 Winter St, Waltham, MA 02451-1433 | 2006-09-29 |
| Find all providers in WALTHAM | ||||
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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.