1437282423 NPI number — DR. JAMES H COURNIOTES II

Table of content: DR. JAMES H COURNIOTES II (NPI 1437282423)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437282423 NPI number — DR. JAMES H COURNIOTES II

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COURNIOTES
Provider First Name:
JAMES
Provider Middle Name:
H
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
II
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437282423
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/30/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1786 WILBRAHAM ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPRINGFIELD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01119
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-783-0114
Provider Business Mailing Address Fax Number:
413-783-3661

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1786 WILBRAHAM ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-783-0114
Provider Business Practice Location Address Fax Number:
413-783-3661
Provider Enumeration Date:
03/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  1519 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0024451 . This is a "NEIGHBORHOOD HLTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 33904 . This is a "HARVARD PILGRIM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 98376502 . This is a "NETWORK HLTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 151900 . This is a "CONN CARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 441480894 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 001519 . This is a "TUFTS HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 566340 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: Y70759 . This is a "BLUE CROSS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 000000006887 . This is a "BOSTON MED CTR HLTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 14031 . This is a "HEALTH NEW ENGLAND" identifier . This identifiers is of the category "OTHER".




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