LAURENCE CLOUTIER-CHAMPAGNE (NPI# 1811254725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811254725 |
Entity Type | Individual |
Full Name | LAURENCE CLOUTIER-CHAMPAGNE |
Credential | DPM |
Practice Address |
81 W 115th St New York NY 10026-3138 |
Mailing Address |
60 Madison Ave 5th New York NY 10010-1600 |
Practice Telephone | 2124260088 |
Practice Fax Number | 2124268367 |
Mailing Telephone | 2125452400 |
Enumeration Date | 2012-04-16 |
Last Update Date | 2014-04-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
N006470-1 | NY | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 00695941 | 05 |
Street Address |
81 W 115TH ST |
City | NEW YORK |
State | NY |
Zip Code | 10026-3138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154322543 | Peter Jon Tesler | Pediatrics | 81 W 115th St, New York, NY 10026-3138 | 2005-08-09 |
1811506421 | Melissa Isaac | Registered Nurse | 81 W 115th St, New York, NY 10026-3138 | 2020-07-29 |
1326680695 | Bensy Benjamin | Social Worker | 81 W 115th St, New York, NY 10026-3138 | 2019-10-08 |
1649657040 | Carlton Jean | Social Worker | 81 W 115th St, New York, NY 10026 | 2015-05-05 |
1184965493 | Evelyn Adwoa Addo | Registered Nurse | 81 W 115th St, New York, NY 10026-3138 | 2013-03-12 |
1881952539 | Jillian Laura Cohen | Family Medicine | 81 W 115th St, New York, NY 10026-3138 | 2012-05-01 |
1366747651 | Jessina Maria Laviera | Social Worker | 81 W 115th St, New York, NY 10026-3138 | 2011-01-18 |
1467756411 | Nam Hee Ava Park | Dentist | 81 W 115th St, New York, NY 10026-3138 | 2011-01-05 |
1558597674 | Enia Yah Zigbuo-wenzler | Nurse Practitioner | 81 W 115th St, New York, NY 10026-3138 | 2009-06-03 |
1205007382 | Mavis S Thompson | Internal Medicine | 81 W 115th St, New York, NY 10026-3138 | 2008-03-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538704663 | Glenda Murdaugh | Social Worker | 130 Lenox Avenue, Apt. 613, New York, NY 10026 | 2019-11-13 |
1043702574 | Gwendolyn Miller | Counselor | Create Inc, 73-75 Lenox Ave, New York, NY 10026 | 2018-05-31 |
1013423391 | Herman L Jackson | Physical Therapy Assistant | Physical Therapy of Harlem 1400 5th Ave, New York City, NY 10026 | 2017-12-21 |
1497264915 | Yudith O. Mahon | Registered Nurse | 110 West 114th Street Apt. 1b, New York, NY 10026 | 2017-09-27 |
1124546254 | Carmen Raina Abagail Lalonde | Psychologist | 155 West 72nd Street, Suite 505, Manhattan, NY 10026 | 2017-09-09 |
1972053387 | Crate | Community/Behavioral Health | 73 Lenox Avenue, New York, NY 10026 | 2016-10-10 |
1770931875 | Wendy P Nick | Speech-Language Pathologist | 240 W 113th St, New York, NY 10026 | 2016-05-30 |
1720464209 | Barbara D. Leese | Social Worker | 305 W 118th St, New York, NY 10026 | 2015-08-06 |
1982091880 | Philip Miller I | Counselor | 121 West 111th Street, New York, NY 10026 | 2015-04-20 |
1154711612 | Create, Inc. | Substance Abuse Rehabilitation Facility | 121-123 West 111th Street, New York, NY 10026 | 2015-02-04 |
Find all providers in zip 10026 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
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1770094310 | Midtown Foot Care PC | Podiatrist | 25 W 45th St Ste 1215, New York, NY 10036-4902 | 2017-10-23 |
1316477649 | Columbus Circle Podiatric Surgical, PC | Podiatrist | 315 W 57th St Ste 407, New York, NY 10019-3147 | 2017-06-19 |
1689101834 | World Trade Podiatry Pllc | Podiatrist | 233 Broadway Ste 1775, New York, NY 10279-0001 | 2017-05-18 |
1952752248 | Mohammad Rimawi | Podiatrist | 122 E 42nd St Rm 2901, New York, NY 10168-2999 | 2016-06-28 |
1760837140 | Adam Jeffrey Bernatsky | Podiatrist | 43 W 16th St Apt 6h, New York, NY 10011-6321 | 2016-05-04 |
1457725426 | Weil Podiatry of New York LLC | Podiatrist | 4151 Broadway Ste 4159b, New York, NY 10033-3780 | 2015-11-13 |
1902288269 | Sophia Asmara Solomon | Podiatrist | 51 E 25th St Ste 401, New York, NY 10010-2945 | 2015-06-23 |
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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.