OLEKSANDR STUPNYTSKYI (NPI# 1598712739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598712739 |
| Entity Type | Individual |
| Full Name | OLEKSANDR STUPNYTSKYI |
| Credential | M.D. |
| Practice Address |
25 Marston Street 404a Lawrence MA 01841 |
| Mailing Address |
25 Marston St Apt 203 Lawrence MA 01841-2357 |
| Practice Telephone | 9787255913 |
| Practice Fax Number | 9787255918 |
| Mailing Telephone | 9787255913 |
| Mailing Fax Number | 9787255918 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 233485 | MA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 36415 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UHC | 510492088 | 01 | |
| MA | 2140233 | 05 | |
| AETNA | 7778264 | 01 | |
| BCBS | J42413 | 01 | |
| FALLON | 29164 | 01 | |
| NETWORK HEALTH | 95867101 | 01 | |
| TUFTS | 496927 | 01 | |
| HPHC | AA98601 | 01 | |
| BMC | 1598712739 | 01 |
| Street Address |
25 MARSTON STREET 404A |
| City | LAWRENCE |
| State | MA |
| Zip Code | 01841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063852127 | Torkom Armen Garabedian | Internal Medicine | 25 Marston Street, Suite 202, Lawrence, MA 01841 | 2013-07-03 |
| 1275897563 | Marwa El Sabbahy | Internal Medicine | 25 Marston Street, Suite 403, Lawrence, MA 01841 | 2012-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326502501 | Toby Lazerson | Social Worker | 135 Butler Street, Bruce School, Lawrence, MA 01841 | 2019-01-22 |
| 1376038414 | Maggie Townsend | Physical Therapist | 172 Lawrence Street, Lawrence, MA 01841 | 2018-06-29 |
| 1265941678 | Melvinson Polanco | Psychologist | 170 Sanborn St, Lawrence, MA 01841 | 2017-09-28 |
| 1407385834 | Lawrence Health Solutions, LLC | Clinic/Center | 25 Marston St., Suite 105, Lawrence, MA 01841 | 2017-06-08 |
| 1619419652 | Helen Santos | Social Worker | 5 Colby St, Lawrence, MA 01841 | 2016-11-08 |
| 1740737329 | James Michael Torres | Social Worker | 439 S. Union Street, Larwrence, MA 01841 | 2016-09-01 |
| 1588010003 | Michael Castillo | Counselor | 274 East Haverhill St, Lawrence, MA 01841 | 2016-05-13 |
| 1619379351 | Marlene Reyes | Psychologist | 27 Clarke St, Lawrence, MA 01841 | 2014-09-25 |
| 1982016762 | Erica Vasquez | Counselor | 590 Canal Street, Lawrence, MA 01841 | 2014-05-28 |
| 1538500202 | Azadeh Suppappola | Optometrist | 25 Marston Street #104, Boston Eye Group, Lawrence, MA 01841 | 2013-07-10 |
| Find all providers in zip 01841 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376022921 | Donna Griebel | Internal Medicine | 2129 New Hampshire St, Lawrence, KS 66046-3047 | 2018-08-13 |
| 1346739851 | Unity Medical Clinic, LLC | Internal Medicine | 2201 W 25th St Ste U, Lawrence, KS 66047-2957 | 2018-05-09 |
| 1790058261 | Rachel Schwartz | Internal Medicine | 100 Barrett Rd, Lawrence, NY 11559-2030 | 2012-02-14 |
| 1316256514 | Fabiola Mendoncafeitosaruivo | Internal Medicine | 25 Marston St Apt 202, Lawrence, MA 01841-2357 | 2010-10-05 |
| 1861703860 | Mark Oertel | Internal Medicine | 1130 W 4th St Ste 3201, Lawrence, KS 66044-1328 | 2010-06-24 |
| 1366683997 | Frederico Calvet Beserra | Internal Medicine | 119 Thoreau Way, Apt 633, Lawrence, MA 01843-3911 | 2009-03-11 |
| 1558537027 | Kimball Stacey | Internal Medicine | 2014 Stratford Rd, Lawrence, KS 66044-4542 | 2008-05-05 |
| 1144376591 | Ann Hwang | Internal Medicine | 439 S Union St Ste 403, Lawrence, MA 01843-2800 | 2007-01-26 |
| 1386678480 | Michael I Gendlerman | Internal Medicine | 360 Merrimack St., Bldg. 9, Suite 303, Lawrence, MA 01843 | 2006-07-11 |
| 1427005271 | North Andover Medical Center | Internal Medicine | 160 Winthrop Ave, Lawrence, MA 01843-3840 | 2006-05-27 |
| Find all providers in LAWRENCE | ||||
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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.