CONCENTRA PRIMARY CARE PA (NPI# 1023395340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023395340 |
| Entity Type | Organization |
| Organization Name | CONCENTRA PRIMARY CARE PA |
| Other Organization Name | CONCENTRA PRIMARY CARE |
| Practice Address |
290 Branch Ave Providence RI 02904-2713 |
| Mailing Address |
5080 Spectrum Drive Suite 1200 West Addison TX 75001-4648 |
| Practice Telephone | 4017228880 |
| Practice Fax Number | 4017239320 |
| Mailing Telephone | 9723648083 |
| Mailing Fax Number | 2147754502 |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2016-02-09 |
| Authorized Official Name | DR. ROBERT HASSETT (PRESIDENT) |
| Authorized Official Telephone | 9723648000 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Concentra Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174873905 | Concentra Primary Care Pa | Clinic/Center | 220 West Goodwin, Pleasanton, TX 78064-4115 | 2012-09-19 |
| 1265782098 | Concentra Primary Care Pa | Clinic/Center | 260 Us Hwy 181 N, Floresville, TX 78114-3136 | 2012-09-19 |
| 1164772992 | Concentra Primary Care Pa | Clinic/Center | 4360 Greco Drive, San Antonio, TX 78222-2725 | 2012-09-19 |
| 1336499177 | Concentra Primary Care Pa | Clinic/Center | 12413 Judson Road, Live Oak, TX 75233-3202 | 2012-09-19 |
| 1427308253 | Concentra Primary Care Pa | Clinic/Center | 1354 East Walnut St, Seguin, TX 78155-5126 | 2012-09-19 |
| 1457601288 | Concentra Primary Care Pa | Clinic/Center | 1860 South Seguin Avenue, New Braunfels, TX 78130-3914 | 2012-09-19 |
| 1548517600 | Concentra Primary Care Pa | Family Medicine | 1502 Oxford Drive, Georgetown, KY 40324-8094 | 2012-08-08 |
| 1457608515 | Concentra Primary Care Pa | Family Medicine | 3174 Custer Drive, Suite 100, Lexington, KY 40517-4000 | 2012-08-08 |
| 1437432689 | Concentra Primary Care Pa | Clinic/Center | 2140 Mendon Road, Suite 101a, Cumberland, RI 02864 | 2011-09-23 |
| 1962783654 | Concentra Primary Care Pa | Clinic/Center | 1220 Caroline Street, Suite A230, Atlanta, GA 30307 | 2011-09-08 |
| Street Address |
290 BRANCH AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02904-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114243599 | Occupational Health Services of The Southwest Pa | Clinic/Center | 290 Branch Ave, Providence, RI 02904 | 2010-04-11 |
| 1629632567 | Alexander Perdikis | Physical Therapist | 290 Branch Ave, Providence, RI 02904-2713 | 2019-04-25 |
| 1720367923 | Us Medgroup Pa | Clinic/Center | 290 Branch Ave, Providence, RI 02904 | 2011-08-05 |
| 1780900407 | American Current Care Pa | Clinic/Center | 290 Branch Ave, Providence, RI 02904 | 2010-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235275207 | Summit Medical Group | Clinic/Center | 100 Highland Ave Ste 307, Providence, RI 02906-2753 | 2007-01-29 |
| 1972721157 | Lewis R. Weiner, M.d., Inc. | Clinic/Center | 1 Davol Sq, #304, Providence, RI 02903-4755 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700420106 | Alexa S Gladstone | Clinic/Center | 333 School St # 112, Pawtucket, RI 02860-5334 | 2019-10-30 |
| 1437432689 | Concentra Primary Care Pa | Clinic/Center | 2140 Mendon Road, Suite 101a, Cumberland, RI 02864 | 2011-09-23 |
| 1568667848 | Wellnorth Medical LLC | Clinic/Center | 1630 Mineral Spring Ave, 2, North Providence, RI 02904-4025 | 2007-06-18 |
| 1174141345 | Stillwater Primary Care Ltd | Clinic/Center | 712 Putnam Pike Unit 2, Chepachet, RI 02814-1404 | 2020-07-14 |
| 1356965859 | Berghelli Internal Medicine, LLC | Clinic/Center | 2358 S County Trl, East Greenwich, RI 02818-1583 | 2020-06-01 |
| 1063984813 | Osh - Ri Physicians Group, PC | Clinic/Center | 300 Quaker Ln # C2-4, Warwick, RI 02886-0159 | 2018-12-18 |
| 1407222789 | Direct Doctors, Inc. | Clinic/Center | 320 Phillips St Ste 203, North Kingstown, RI 02852-5149 | 2015-08-20 |
| 1386041507 | Family Doctor Plus Ri LLC | Clinic/Center | 553 Kingstown Rd, Wakefield, RI 02879-3600 | 2014-12-03 |
| 1255606844 | Concentra Primary Care Pa | Clinic/Center | 400 Bald Hill Rd, Suite 511, Warwick, RI 02886-1617 | 2012-03-14 |
| 1548538473 | Primary Care Partners | Clinic/Center | 2756 Post Rd, Warwick, RI 02886-3003 | 2011-12-07 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 02904 |
Please comment or provide details below to improve the information on CONCENTRA PRIMARY CARE PA.
| 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.