MR. RANDY WNUK (NPI# 1568922334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568922334 |
| Entity Type | Individual |
| Full Name | MR. RANDY WNUK |
| Credential | PA |
| Practice Address |
10 N Main St Charlton MA 01507-1590 |
| Practice Telephone | 5082481770 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15 Berndt Dr, Attleboro, MA 027032602 | 5084091040 |
| 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 |
| 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 |
| 1013187616 | Stacy L. Pominville | Nurse Practitioner | 10 N Main St, Charlton, MA 01507-1590 | 2008-03-11 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1568029437 | Kelly Ann Diaz | Physician Assistant | 10 N Main St, Charlton, MA 01507-1590 | 2019-05-24 |
| 1679934335 | Traci Ann Mercier | Physician Assistant | 10 N Main St, Charlton, MA 01507-1590 | 2016-03-09 |
| 1528316544 | Heather C. Sienel | Physician Assistant | 10 N Main St, Charlton, MA 01507-1590 | 2012-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869274 | David M Correll | Physician Assistant | 45 Wollaston Ave, Arlington, MA 02476-5836 | 2020-10-23 |
| 1699374660 | Sarah Ilana Katz | Physician Assistant | 11a Laurel St, Salem, MA 01970-4657 | 2020-10-21 |
| 1205435393 | Allison Lee Nocon | Physician Assistant | 289 Beacon St Apt 8, Boston, MA 02116-1263 | 2020-10-20 |
| 1841898384 | Chloe Friedman | Physician Assistant | 62 Patricia Dr, Abington, MA 02351-1081 | 2020-10-16 |
| 1760080378 | Jason Lee | Physician Assistant | 42 Electric Ave, Somerville, MA 02144-1604 | 2020-10-15 |
| 1700484656 | Emily Cioffi | Physician Assistant | 5 Cosma Rd, North Easton, MA 02356-1331 | 2020-10-13 |
| 1407453806 | Emily Louis | Physician Assistant | 174 Groton Rd, North Chelmsford, MA 01863-1205 | 2020-10-08 |
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1073110433 | Ellen Boyle | Physician Assistant | 11 Castle Gate Rd, Wayland, MA 01778-4310 | 2020-10-07 |
| 1992302897 | Marissa Pond | Physician Assistant | 95 Concord St, Haverhill, MA 01830-2809 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. RANDY WNUK.
| 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.