DR. CHARLES WILLIAM CONNOLLY


Address: 120 College Ave, Somerville, MA 02144-1919
Phone: 6177762500

DR. CHARLES WILLIAM CONNOLLY (NPI# 1932105095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932105095
Entity Type Individual
Full Name DR. CHARLES WILLIAM CONNOLLY
Credential DPM
Practice Address 120 College Ave
Somerville
MA 02144-1919
Practice Telephone 6177762500
Practice Fax Number 6177763850
Mailing Telephone 7815931700
Enumeration Date 2005-06-23
Last Update Date 2012-04-24
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 1784 MA Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA 0361968 05
MA UNITED HEALTHCARE 2700037 01
MA HARVARD PILGRIM HEALTH CA 33386 01
MA BLUE SHIELD OF MA Y70860 01
MA TUFTS HEALTH PLAN 709158 01

Other Providers CHARLES CONNOLLY

NPI Name Taxonomy Address Enumeration
1174779391 Charles John Connolly Jr. Chiropractor 15 Millet St, Dix Hills, NY 11746 2008-08-08
1992937759 Charles Mathew Connolly Physical Therapy Assistant 9160 W 64th Ave, Arvada, CO 80004-3111 2009-08-12

Office Location

Street Address 120 COLLEGE AVE
City SOMERVILLE
State MA
Zip Code 02144-1919

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386106953 Star Markets Company Inc Durable Medical Equipment & Medical Supplies 90 Causeway St, Boston, MA 02144 2019-04-03
1841769460 Jeffrey Shwom Technician/Technologist 40 Holland Street, 1st Floor, Somerville, MA 02144 2018-11-14
1689106700 Michelle Dyrholm Anesthesiology Massachusetts General Hospital, Dept of Anesthesia, 55 Fruit Street, Gray-bigelow 444, Boston, MA 02144 2017-03-29
1275089575 Nancy Landry Pllc Family Medicine Somerville Family Practice, 1020 Broadway, Somerville, MA 02144 2016-08-28
1982019451 Wilson Garcia Acosta Specialist 278 Powderhouse, Somerville, MA 02144 2014-06-24
1376954289 Jonathan Farr Counselor 1236 Broadway Ste 12, Somerville, MA 02144 2014-05-13
1356751945 Christina Sakelarakis Psychologist 73 Fairfax St, Somerville, MA 02144 2014-05-05
1578905816 Nicolle Woods Behavioral Analyst 58 Day St #441938, Somerville, MA 02144 2013-07-29
1306130018 Emily Elizabeth Wheeler Psychologist 259 Elm St Ste 201, Somerville, MA 02144 2011-05-31
1932363355 Hang Le Ngo Psychologist 53 Chester Street, Somerville, MA 02144 2008-07-15
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871525253 John Elijah Bell Podiatrist 305 Lake Dr, Somerville, TN 38068-9724 2006-07-07
1801383088 Candria Consulting and Holdings Inc Podiatrist 53 Main St, Somerville, MA 02145-1448 2018-04-13
1184860835 Pasquale Cancelliere Podiatrist 53 Main St, Somerville, MA 02145-1448 2008-12-31
1760430755 Michael Hercules Theodoulou Podiatrist 230 Highland Ave, Somerville, MA 02143-1408 2006-05-04
1588628853 Brian D Tedesco Podiatrist 53 Main St, Somerville, MA 02145-1448 2006-04-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770052623 Edward Joseph Salem Podiatrist 18 Hadley Village Rd Apt D, South Hadley, MA 01075-2272 2018-11-21
1497230171 Coastal Foot & Ankle Inc Podiatrist 300 Hanover St Ste 2c, Fall River, MA 02720-5451 2018-09-28
1942794656 Christopher H. Peteros, Dpm, LLC Podiatrist 1200 Converse St Ste 103, Longmeadow, MA 01106-1760 2018-06-16
1003309444 Plymouth Podiatry PC Podiatrist 135 Sandwich St Ste 1, Plymouth, MA 02360-2400 2018-06-11
1972024735 Richa Piyush Patel Podiatrist 100 Crossing Blvd Ste 300, Framingham, MA 01702-5555 2017-07-03
1508391186 Steven Quan Podiatrist 70 Wesson Ave, Quincy, MA 02169-7412 2017-04-20
1598117350 Melissa Lynn Ricci Podiatrist 100 Highland St Ste 122, Milton, MA 02186-3878 2016-07-05
1639528987 Sturdy Memorial Associates, Inc Podiatrist 7 Wilkins Drive, Plainville, MA 02762 2016-06-08
1043669591 Sara Elizabeth Rose-sauld Podiatrist 52 2nd Ave Ste 1150, Waltham, MA 02451-1129 2016-06-06
1558743880 Alissa Kuizinas Podiatrist 54 Baker Avenue Ext Ste 301, Concord, MA 01742-2139 2015-06-23
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Competitor

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City SOMERVILLE
Zip Code 02144

Improve Information

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Dataset Information

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.

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