OSH - RI PHYSICIANS GROUP, PC (NPI# 1063984813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063984813 |
| Entity Type | Organization |
| Organization Name | OSH - RI PHYSICIANS GROUP, PC |
| Practice Address |
300 Quaker Ln # C2-4 Warwick RI 02886-0159 |
| Mailing Address |
30 W Monroe St Ste 1200 Chicago IL 60603-2420 |
| Practice Telephone | 3127339730 |
| Mailing Telephone | 3127339730 |
| Mailing Fax Number | 7738668014 |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2020-02-06 |
| Authorized Official Name | DR. GRIFFIN MYERS (CMO, PRESIDENT) |
| Authorized Official Telephone | 3127339730 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | MEDICAL LICENSE | MD16439 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 650 Branch Ave, Providence, RI 029041728 | 4012335055 | 4015196985 |
| 712 Broad St, Providence, RI 029071465 | 4012335060 | 4013722618 |
| Street Address |
300 QUAKER LN # C2-4 |
| City | WARWICK |
| State | RI |
| Zip Code | 02886-0159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508817545 | Wanda K Pothier | Nurse Practitioner | 300 Quaker Ln # C2-4, Warwick, RI 02886-0159 | 2006-05-15 |
| 1902442874 | Raissa Mutuyimana | Nurse Practitioner | 300 Quaker Ln # C2-4, Warwick, RI 02886-0159 | 2019-11-26 |
| 1477843696 | Edward Westrick | Internal Medicine | 300 Quaker Ln # C2-4, Warwick, RI 02886-0159 | 2011-04-08 |
| 1508176090 | Margaret Frempong | Counselor | 300 Quaker Ln # C2-4, Warwick, RI 02886-0159 | 2010-10-18 |
| 1669787073 | Katherine P Obara | Nurse Practitioner | 300 Quaker Ln # C2-4, Warwick, RI 02886-0159 | 2010-08-10 |
| 1740591015 | Nicholas T Nikolopoulos | Family Medicine | 300 Quaker Ln # C2-4, Warwick, RI 02886-0159 | 2010-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694445 | Sheri Lynn Sklarz | Specialist | 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 | 2020-03-23 |
| 1316581424 | Dr. Degiulio & Associates Inc | Optometrist | 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 | 2019-10-31 |
| 1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
| 1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1538687520 | David A. Bennett | Registered Nurse | 2756 Post Road, Warwick, RI 02886 | 2017-08-30 |
| 1427585223 | Brittany Teixeira | Counselor | 85 Earl Street, Warwick, RI 02886 | 2017-05-11 |
| 1497125199 | Aiden Philip Cwynar | Optometrist | 1050 Centerville Road, Warwick, RI 02886 | 2015-10-07 |
| 1104221738 | Wilfredo L Sancianco Dmd Inc | Preferred Provider Organization | 3411 W Shiore Rd, Warwick, RI 02886 | 2014-10-24 |
| 1831508662 | Matthew Bryant Mitchell | Physical Therapist | 400 Bald Hill Rd #511, Warwick, RI 02886 | 2014-08-06 |
| Find all providers in zip 02886 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053677229 | Ralph J Alvarez, Md, Pllc | Clinic/Center | 9 Grand St, Warwick, NY 10990-1007 | 2012-04-02 |
| 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 |
| 1235314691 | Usha Stokoe Md Inc | Clinic/Center | 200 Toll Gate Rd, # 204, Warwick, RI 02886-4440 | 2008-01-04 |
| 1558556266 | Keith L. Callahan M.d., P.C. | Clinic/Center | 390 Toll Gate Rd, Suite 108, Warwick, RI 02886-4326 | 2007-09-06 |
| 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 |
| 1235275207 | Summit Medical Group | Clinic/Center | 100 Highland Ave Ste 307, Providence, RI 02906-2753 | 2007-01-29 |
| 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 |
| 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 |
| 1023395340 | Concentra Primary Care Pa | Clinic/Center | 290 Branch Ave, Providence, RI 02904-2713 | 2011-11-15 |
| 1174806327 | Concentra Primary Care Pa | Clinic/Center | 400 Putnam Pike, Suite E, Smithfield, RI 02917 | 2011-09-23 |
| Find all providers with the same taxonomy | ||||
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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.