JONATHAN A LEVISS (NPI# 1013973627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013973627 |
| Entity Type | Individual |
| Full Name | JONATHAN A LEVISS |
| Credential | MD |
| Practice Address |
355 Prairie Ave Providence RI 02905-1928 |
| Mailing Address |
375 Allens Ave Providence RI 02905-5010 |
| Practice Telephone | 4014440570 |
| Practice Fax Number | 4014440427 |
| Mailing Telephone | 4014440400 |
| Mailing Fax Number | 4014440468 |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2020-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 272993 | MA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | MD11650 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 7057660 | 05 | |
| MA | 110127773A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 186 Providence St, West Warwick, RI 028932508 | 4016152800 | 4016152805 |
| Street Address |
355 PRAIRIE AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-1928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959867 | The Providence Community Health Centers, Inc | Clinic/Center | 355 Prairie Ave, Providence, RI 02905-5010 | 2005-08-15 |
| 1710521208 | Wesley W. Butt | Family Medicine | 355 Prairie Ave, Providence, RI 02905-1928 | 2019-10-29 |
| 1891342226 | Sahony Natasha Ramos | Counselor | 355 Prairie Ave, Providence, RI 02905-1928 | 2019-08-21 |
| 1386115095 | Ingrid Ayala | Counselor | 355 Prairie Ave, Providence, RI 02905-1928 | 2018-12-07 |
| 1023595055 | Luis David Rodriguez | Counselor | 355 Prairie Ave, Providence, RI 02905-1928 | 2018-07-23 |
| 1982122198 | Nadia Marisa Tourinho | Social Worker | 355 Prairie Ave, Providence, RI 02915 | 2017-09-07 |
| 1679095947 | Jaai M. Deshpande | Family Medicine | 355 Prairie Ave, Providence, RI 02905-1928 | 2017-07-08 |
| 1720521909 | Gioconda Vazquez | Registered Nurse | 355 Prairie Ave, Providence, RI 02905-1928 | 2016-11-21 |
| 1649622184 | Kristin Lee Malone | Registered Nurse | 355 Prairie Ave, Providence, RI 02905-1928 | 2016-07-08 |
| 1881045789 | Kathryn Oberacker | Nurse Practitioner | 355 Prairie Ave, Providence, RI 02905-1928 | 2016-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| 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 |
|---|---|---|---|---|
| 1871115147 | James Lewis Scharfen | Internal Medicine | 593 Eddy St Rm 126, Providence, RI 02903-4923 | 2020-05-10 |
| 1083271241 | Perry Mayo-malasky | Internal Medicine | 201 Angell St Apt 7, Providence, RI 02906-1236 | 2019-05-23 |
| 1871084509 | Jaclyn Mckenna | Internal Medicine | Rhode Island Hospital 593 Eddy Street, Providence, RI 02903 | 2018-05-29 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1952824831 | Isabelle Malhame | Internal Medicine | 101 Dudley St # 3352, Providence, RI 02905-2401 | 2017-07-21 |
| 1669854634 | Lissy Hu | Internal Medicine | 150 Union St, Providence, RI 02903-1790 | 2015-06-25 |
| 1154718161 | Parvati Singh | Internal Medicine | 164 Summit Ave Ste 221, Providence, RI 02906-2894 | 2015-04-17 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1831459874 | Ryan Steven Hirschfeld | Internal Medicine | 27 Dryden Ln Ste 100, Providence, RI 02904-2782 | 2012-05-24 |
| 1114286739 | Robert Clyde Heffron | Internal Medicine | 25 Emeline St, Providence, RI 02906-3305 | 2012-05-16 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
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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.