RHODE ISLAND HOSPITAL (NPI# 1073714762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073714762 |
| Entity Type | Organization |
| Organization Name | RHODE ISLAND HOSPITAL |
| Other Organization Name | HALLETT CENTER FOR DIABETES AND ENDOCRINOLOGY |
| Practice Address |
900 Warren Ave Ste 302 East Providence RI 02914-1430 |
| Mailing Address |
117 Ellenfield St Providence RI 02905-4513 |
| Practice Telephone | 4014448344 |
| Practice Fax Number | 4014445462 |
| Mailing Telephone | 4014445640 |
| Mailing Fax Number | 4014445462 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2016-07-28 |
| Authorized Official Name | MRS. MARY A WAKEFIELD (EXECUTIVE VICE PRESIDENT AND & CFO) |
| Authorized Official Telephone | 4014447914 |
| Is Organization Subpart | Y |
| Parent Organization Name | LIFESPAN CORPORATION |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | HOS00121-19 | RI | Podiatric Medicine & Surgery Service Providers |
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
HOS00121-10 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | RI48232 | 05 | |
| RI | BCHIP GROUP NUMBER | 410401 | 01 |
| RI | BCBSRI GROUP NUMBER | 0000023179 | 01 |
| Other Name | Type Code |
|---|---|
| Hallett Center for Diabetes and Endocrinology | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083848980 | Rhode Island Hospital | Clinic/Center | 22 Baker Street, Providence, RI 02905-5443 | 2009-05-06 |
| 1477675262 | Rhode Island Hospital | Internal Medicine | 701 George Washington Hwy Ste 100, Lincoln, RI 02865 | 2007-04-04 |
| 1609953397 | Rhode Island Hospital | General Acute Care Hospital | 1 Hoppin St Ste 200, Providence, RI 02903-4132 | 2006-11-01 |
| 1245607795 | Rhode Island Hospital | Clinic/Center | 407 East Ave, Suite 250, Pawtucket, RI 02860-5290 | 2015-08-31 |
| 1396147575 | Rhode Island Hospital | Obstetrics & Gynecology | 593 Eddy St, Providence, RI 02903-4923 | 2014-09-19 |
| 1104233832 | Rhode Island Hospital | General Acute Care Hospital | 593 Eddy St, Children's Neurodevelopment Center, Providence, RI 02903-4923 | 2014-07-15 |
| 1851729511 | Rhode Island Hospital | Surgery | 2 Dudley St, Suite 180, Providence, RI 02905-3236 | 2013-10-16 |
| 1962844795 | Rhode Island Hospital | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2013-07-22 |
| 1154663383 | Rhode Island Hospital | Podiatrist | 593 Eddy Street, Providence, RI 02914-1414 | 2013-03-26 |
| 1326382763 | Rhode Island Hospital | Clinic/Center | 70 Catamore Blvd, East Providence, RI 02914-1218 | 2012-11-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RHODE ISLAND HOSPITAL | 593 Eddy St, Providence, RI 02903-4923 |
| Street Address |
900 WARREN AVE STE 302 |
| City | EAST PROVIDENCE |
| State | RI |
| Zip Code | 02914-1430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750653986 | Cheryl Ann Simon | Registered Nurse | 900 Warren Ave Ste 302, East Providence, RI 02914-1430 | 2012-02-03 |
| 1477077493 | Benjamin James Javery | Physician Assistant | 900 Warren Ave Ste 302, East Providence, RI 02914-1430 | 2017-08-01 |
| 1801205521 | Iracena S Lopes | Nurse Practitioner | 900 Warren Ave Ste 302, East Providence, RI 02914-1430 | 2014-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457988198 | Sean C. Duffy | Massage Therapist | 231 Warren Ave., East Providence, RI 02914 | 2020-03-24 |
| 1457905606 | Jeanine Le-kreuzer, Lmhc | Clinic/Center | 3421 Pawtucket Ave, East Providence, RI 02914 | 2019-07-26 |
| 1881113983 | Megan Grace Fitzpatrick | Student in an Organized Health Care Education/Training Program | 51 Milburn Rd, East Providence, RI 02914 | 2017-09-11 |
| 1265719660 | Hilary Elise Bicknell | Physical Therapist | 927 B Warren Ave, East Providence, RI 02914 | 2011-11-14 |
| 1346549037 | Amanda M Hope | Occupational Therapist | 2680 Pawtucket Ave, East Providence, RI 02914 | 2011-03-21 |
| 1780993824 | Shannon Hayes | Physical Therapist | 400 Massaoit Ave, East Providence, RI 02914 | 2010-10-06 |
| 1053623538 | Ricardo Rafael Correa Marquez | Internal Medicine | 900 Warren Avenue, Suite 300, East Providence, RI 02914 | 2010-07-13 |
| 1013231570 | Michael Seidler | Internal Medicine | 20 Catamore Blvd., East Providence, RI 02914 | 2010-03-26 |
| 1053543405 | Ray Rezania | Dentist | 1055 South Broadway, East Providence, RI 02914 | 2009-08-19 |
| 1144464587 | John F Maynard | Urology | Metacomet Office Park, 450 Veterans Parkway, East Providence, RI 02914 | 2009-04-29 |
| Find all providers in zip 02914 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508992694 | Asthma & Allergy Physicians of Rhode Island Inc | Allergy & Immunology | 470 Toll Gate Rd Ste 203, Warwick, RI 02886-2741 | 2007-02-26 |
| 1275646440 | Anthony Raymond Ricci | Allergy & Immunology | 63 Cedar Ave, Suite 7, East Greenwich, RI 02818-3101 | 2006-08-15 |
| 1124027552 | John F Zwetchkenbaum | Allergy & Immunology | 1056 Hope St, Providence, RI 02906-5026 | 2005-07-18 |
| 1093711830 | David Robert Katzen | Allergy & Immunology | 400 Bald Hill Rd, Ste 527, Warwick, RI 02886-6100 | 2005-06-27 |
| 1982099834 | Mansi K. James | Allergy & Immunology | 355 Prairie Ave, Providence, RI 02905-1928 | 2015-03-30 |
| 1497934350 | Allergy and Asthma Associates, Inc. | Allergy & Immunology | 400 Bald Hill Rd, Suite 527, Warwick, RI 02886-1617 | 2007-10-29 |
| 1033130224 | Mary Ann C Passero | Allergy & Immunology | 120 Dudley St, Suite 203, Providence, RI 02905-2436 | 2006-07-22 |
| 1033118468 | Barrie Weisman | Allergy & Immunology | 1056 Hope St, Providence, RI 02906-5026 | 2005-07-18 |
| City | EAST PROVIDENCE |
| Zip Code | 02914 |
Please comment or provide details below to improve the information on RHODE ISLAND HOSPITAL.
| 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.