CENTERVILLE PODIATRY LLC (NPI# 1073634374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073634374 |
| Entity Type | Organization |
| Organization Name | CENTERVILLE PODIATRY LLC |
| Practice Address |
469 Centerville Rd Suite 105 Warwick RI 02886-4354 |
| Practice Telephone | 4017389200 |
| Practice Fax Number | 4017389400 |
| Mailing Telephone | 4017389200 |
| Mailing Fax Number | 4017389400 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2016-06-14 |
| Authorized Official Name | CHRISTINE CABRAL (OFFICE MANAGER) |
| Authorized Official Telephone | 4017389200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
DPM00277 | RI | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871041491 | Centerville Podiatry LLC | Podiatrist | 469 Centerville Rd, Ste 105, Warwick, RI 02886-4354 | 2016-09-12 |
| Street Address |
469 CENTERVILLE RD SUITE 105 |
| City | WARWICK |
| State | RI |
| Zip Code | 02886-4354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233824 | Radiology Associates Inc | Radiology | 469 Centerville Rd, Suite 103, Warwick, RI 02886-4354 | 2005-05-27 |
| 1558852343 | Katherine Andrews | Counselor | 469 Centerville Rd, Warwick, RI 02886-4354 | 2018-05-29 |
| 1255872206 | Brightside Behavioral Health, LLC | Counselor | 469 Centerville Rd, Suite 101, Warwick, RI 02886-4354 | 2017-03-10 |
| 1871041491 | Centerville Podiatry LLC | Podiatrist | 469 Centerville Rd, Ste 105, Warwick, RI 02886-4354 | 2016-09-12 |
| 1639540826 | Camille M Moonsammy | Nurse Practitioner | 469 Centerville Rd, Warwick, RI 02886-4354 | 2015-10-13 |
| 1639447899 | Kazuya Kurokawa | Pharmacist | 469 Centerville Rd, #106, Warwick, RI 02886-4354 | 2011-12-02 |
| 1396028197 | Ritesh Amitkumar Shah | Pharmacist | 469 Centerville Rd, Suite 106, Warwick, RI 02886-4354 | 2011-09-28 |
| 1396028478 | Gaetano B Piccirillo Jr. | Pharmacist | 469 Centerville Rd, Suite# 106, Warwick, RI 02886-4354 | 2011-09-24 |
| 1477883825 | New England Medical Office | Pediatrics | 469 Centerville Rd, Suite 102, Warwick, RI 02886-4354 | 2010-01-07 |
| 1568611481 | John T. Coletti,dds,ltd | Dentist | 469 Centerville Rd, Suite 107, Warwick, RI 02886-4354 | 2008-09-16 |
| Find all providers in the same location | ||||
| 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 | 213ES0000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Sports Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821523143 | Steven Francis Massucci | Podiatrist | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2017-04-24 |
Please comment or provide details below to improve the information on CENTERVILLE PODIATRY LLC.
| 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.