SIMONE THAVASEELAN (NPI# 1053530782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053530782 |
| Entity Type | Individual |
| Full Name | SIMONE THAVASEELAN |
| Practice Address |
2 Dudley St Ste 185 Providence RI 02905-3247 |
| Mailing Address |
195 Collyer St Ste 201 Providence RI 02904-1869 |
| Practice Telephone | 4014445795 |
| Mailing Telephone | 4012727799 |
| Mailing Fax Number | 4012729299 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2011-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD13391 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GROUP NPI | 1659463230 | 01 | |
| RI | MEDICARE GROUP PTAN | 349005986 | 01 |
| Street Address |
2 DUDLEY ST STE 185 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-3247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841304078 | Dragan J Golijanin | Urology | 2 Dudley St Ste 185, Providence, RI 02905-3247 | 2006-08-17 |
| 1760080071 | Molly Silven | Nurse Practitioner | 2 Dudley St Ste 185, Providence, RI 02905-3247 | 2020-10-09 |
| 1427525583 | Brown Urology, Inc. | Radiology | 2 Dudley St Ste 185, Providence, RI 02905-3247 | 2018-10-26 |
| 1023223484 | Kathleen Hwang | Urology | 2 Dudley St Ste 185, Providence, RI 02905-3247 | 2007-05-11 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336658145 | Brown Urology, Inc. | Urology | 195 Collyer St Ste 104, Providence, RI 02904-1869 | 2017-09-25 |
| 1861652349 | Liza M. Aguiar | Urology | 195 Collyer St 201, Providence, RI 02904-1869 | 2008-06-10 |
| 1841304078 | Dragan J Golijanin | Urology | 2 Dudley St Ste 185, Providence, RI 02905-3247 | 2006-08-17 |
| 1255386868 | Providence Urology, LLC | Urology | 1165 N Main St, Suite 200, Providence, RI 02904-5740 | 2006-05-23 |
| 1508483496 | Mohammad Hisham Hout | Urology | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-26 |
| 1235752478 | Faizanahmed I Munshi | Urology | 593 Eddy St, Providence, RI 02903-4923 | 2020-05-22 |
| 1225650286 | Sreeya Sai Komaravolu | Urology | 593 Eddy St, Providence, RI 02903-4923 | 2020-05-13 |
| 1154988004 | Kathleen Chace | Urology | Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1538620760 | Sarah Anne Moore | Urology | 593 Eddy St, Providence, RI 02903 | 2019-03-29 |
| 1720570872 | Rachel Morgan Greenberg | Urology | 593 Eddy St, Providence, RI 02903-4923 | 2018-06-05 |
| 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.