MICHAEL S SICLARI (NPI# 1033226444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033226444 |
| Entity Type | Individual |
| Full Name | MICHAEL S SICLARI |
| Credential | MD |
| Practice Address |
111 Brewster Street Pawtucket RI 02860-4400 |
| Mailing Address |
111 Brewster Street Wood Bldg #516 Pawtucket RI 02860-4400 |
| Practice Telephone | 4017292419 |
| Practice Fax Number | 4017292517 |
| Mailing Telephone | 4017293481 |
| Mailing Fax Number | 4017292721 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2011-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD06991 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 7002026 | 05 | |
| RI | RI MEDICARE GROUP NUMBER | 939025129 | 01 |
| Street Address |
111 BREWSTER STREET |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854797 | Alice Yang-hee Kim | Internal Medicine | 111 Brewster Street, Pawtucket, RI 02860-4400 | 2005-07-11 |
| 1063939007 | Abraham Walusimbi | Internal Medicine | 111 Brewster Street, Pawtucket, RI 02860 | 2017-08-29 |
| 1265952576 | Ali Alkhayat | Internal Medicine | 111 Brewster Street, Pawtucket, RI 02860 | 2017-06-27 |
| 1740700780 | Melissa Ochoa-trochez | Family Medicine | 111 Brewster Street, Fcc B, Pawtucket, RI 02860 | 2017-06-21 |
| 1063883270 | Jennifer Derossi-dacosta | Registered Nurse | 111 Brewster Street, Cnemg Primary Care and Specialty Services, Pawtucket, RI 02860-4474 | 2015-10-14 |
| 1528368354 | Bethany S Snow | Physician Assistant | 111 Brewster Street, Pawtucket, RI 02860-4400 | 2010-10-27 |
| 1720260805 | Laura Lynnette Frakey | Clinical Neuropsychologist | 111 Brewster Street, Pawtucket, RI 02860-4400 | 2007-11-30 |
| 1740483742 | Linda Coren Hanley | Pathology | 111 Brewster Street, Department of Pathology, Pawtucket, RI 02860-4400 | 2007-06-07 |
| 1518176874 | Memorial Hospital | Family Medicine | 111 Brewster Street, Pawtucket, RI 02860 | 2007-05-22 |
| 1396954640 | Memorial Hospital | Family Medicine | 111 Brewster Street, Memorial Hospital of Rhode Island, Pawtucket, RI 02860 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
| 1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
| 1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
| 1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
| 1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
| 1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
| 1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
| 1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
| Find all providers in zip 02860 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700094992 | Shadi Kiriaki | Emergency Medicine | 92 Darlingdale Ave, Pawtucket, RI 02861-1906 | 2007-05-19 |
| 1548571813 | Katie Chapman | Emergency Medicine | 111 Brewster St, Pawtucket, RI 02860-4474 | 2010-07-01 |
| 1477766749 | Amir Bernaba | Emergency Medicine | 111 Brewster St, Pawtucket, RI 02860-4400 | 2007-05-07 |
| 1285847467 | Laura Forman | Emergency Medicine | 111 Brewster St, Pawtucket, RI 02860-4474 | 2007-05-07 |
| 1043430929 | Memorial Hospital | Emergency Medicine | Memorial Hospital of Rhode Island, 111 Brewster Street, Pawtucket, RI 02860-4400 | 2007-04-26 |
| 1508081498 | Megan Mcnamara | Emergency Medicine | 111 Brewster St, Emergency Department, Pawtucket, RI 02860-4400 | 2007-04-16 |
| 1730221151 | Patrick Smith Zelley | Emergency Medicine | 111 Brewster St, Emergency Department, Pawtucket, RI 02860-4400 | 2007-02-13 |
| 1225188014 | James P O'hair | Emergency Medicine | 100 Smithfield Ave, Pawtucket, RI 02860-3497 | 2007-01-12 |
| 1336188333 | Kristin Lynch Gregg | Emergency Medicine | 111 Brewster Street, Pawtucket, RI 02860-4400 | 2006-06-05 |
| 1033194105 | John Riedel | Emergency Medicine | 111 Brewster St, Department of Emergency Medicine, Pawtucket, RI 02860-4400 | 2005-12-13 |
| Find all providers in PAWTUCKET | ||||
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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.