Provider Demographics
NPI:1437282423
Name:COURNIOTES, JAMES H II
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:H
Last Name:COURNIOTES
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1786 WILBRAHAM ROAD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01119
Mailing Address - Country:US
Mailing Address - Phone:413-783-0114
Mailing Address - Fax:413-783-3661
Practice Address - Street 1:1786 WILBRAHAM ROAD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01119
Practice Address - Country:US
Practice Address - Phone:413-783-0114
Practice Address - Fax:413-783-3661
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1519213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0024451OtherNEIGHBORHOOD HLTH PLAN
33904OtherHARVARD PILGRIM
98376502OtherNETWORK HLTH PLAN
MA151900OtherCONN CARE
441480894OtherRAILROAD MEDICARE
001519OtherTUFTS HEALTH PLAN
566340OtherAETNA
MAY70759OtherBLUE CROSS
000000006887OtherBOSTON MED CTR HLTH PLAN
14031OtherHEALTH NEW ENGLAND
441480894OtherRAILROAD MEDICARE
U27092Medicare UPIN