Idriss El Koussaimi (NPI# 1164695029, PAC ID# 4082885744) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1164695029 |
| PAC ID by PECOS | 4082885744 |
| Professional Enrollment ID | I20110929000327 |
| Full Name | Idriss El Koussaimi |
| Organization Legal Name | CHARLES RIVER MEDICAL ASSOCIATES, PC |
| Address |
479 Washington St Holliston MA 01746-1828 |
| Phone Number | 5084292377 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3476630450 |
| Number of Group Practice Members | 71 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220090 | MILFORD REGIONAL MEDICAL CENTER |
| 220175 | METROWEST MEDICAL CENTER |
| 220119 | FAULKNER HOSPITAL-BRIGHAM AND WOMEN'S |
| Address | Phone | Organization |
|---|---|---|
| 479 Washington St, Holliston, MA 01746-1828 | 5084292377 | CHARLES RIVER MEDICAL ASSOCIATES, PC |
| Organization Legal Name | CHARLES RIVER MEDICAL ASSOCIATES, PC |
| Physicians | 83 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick H Guadiz | Internal Medicine | Charles River Medical Associates, PC | 20 Homer Ave, Ashland, MA 01721-1752 |
| Joseph A Harrington | Internal Medicine | Charles River Medical Associates, PC | 83 Speen St, Natick, MA 01760-4168 |
| Dainius Juknelis | Internal Medicine | Charles River Medical Associates, PC | 571 Union Ave, Suite 101, Framingham, MA 01702-5855 |
| Usha Bandari | Internal Medicine | Charles River Medical Associates, PC | 246 Maple St, Marlborough, MA 01752-3235 |
| Katya Divari | Endocrinology | Charles River Medical Associates, PC | 336 Union Ave, Framingham, MA 01702-6355 |
| Richard C Mcmahon | Internal Medicine | Charles River Medical Associates, PC | 101 Coolidge St, Hudson, MA 01749-1354 |
| Mario F Flores | Internal Medicine | Charles River Medical Associates, PC | 112 Turnpike Rd, Suite 301, Westborough, MA 01581-2859 |
| Michele S Goh | Internal Medicine | Charles River Medical Associates, PC | 157 Washington St, Hudson, MA 01749-2765 |
| Derrick J Todd | Rheumatology | Charles River Medical Associates, PC | 600 Worcester Rd, Framingham, MA 01702-5316 |
| Brett E Ekstrom | Nurse Practitioner | Charles River Medical Associates, PC | 246 Maple St, Marlborough, MA 01752-3235 |
| Street Address |
479 WASHINGTON ST |
| City | HOLLISTON |
| State | MA |
| Zip | 01746-1828 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy A Kaufman | Physical Therapy | Joint Ventures Physical Therapy, Inc. | 479 Washington St, Suite 50, Quincy, MA 02169-5895 |
| Douglas Gronda | Internal Medicine | Charles River Medical Associates, PC | 479 Washington St, Holliston, MA 01746-1828 |
| Kathleen Jackson | Nurse Practitioner | Charles River Medical Associates, PC | 479 Washington St, Holliston, MA 01746-1828 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard N Goldberg | Chiropractic | 307 Mill St, Holliston, MA 01746-1041 | |
| Maxwell Cantor | Physical Therapy | Connections Physical Therapy Inc | 406 R Washington St, Holliston, MA 01746-1342 |
| Monica R Joseph | Physical Therapy | Connections Physical Therapy Inc | 406 R Washington St, Holliston, MA 01746-1342 |
| Anthony Sisti | Physical Therapy | Connections Physical Therapy Inc | 406 R Washington St, Holliston, MA 01746-1342 |
| Michael White | Physical Therapy | Connections Physical Therapy Inc | 406 R Washington St, Holliston, MA 01746-1342 |
| Christine Enderle-olson | Physical Therapy | Connections Physical Therapy Inc | 406 R Washington St, Holliston, MA 01746-1342 |
| Alexandra Warden-michl | Physical Therapy | Connections Physical Therapy Inc | 406 R Washington St, Holliston, MA 01746-1342 |
| Tracy R Moore | Physical Therapy | Connections Physical Therapy Inc | 406 R Washington St, Holliston, MA 01746-1342 |
| Lisa B Wood | Chiropractic | 118 Washington St, Suite 27, Holliston, MA 01746-1373 | |
| Vasumathi K Brown | General Practice | Sri Lakshmi Services, 35 Louis St, Holliston, MA 01746-1549 | |
| Find all physicians in zip 01746 | |||
| City | HOLLISTON |
| Zip Code | 01746 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | HOLLISTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Idriss El Koussaimi.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.