DR. KRISTIN J MACDOUGALL (NPI# 1093000325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093000325 |
| Entity Type | Individual |
| Full Name | DR. KRISTIN J MACDOUGALL |
| Credential | MD |
| Practice Address |
407 East Ave Suite 250 Pawtucket RI 02860-5290 |
| Mailing Address |
315 E Middle Country Rd Smithtown NY 11787-2829 |
| Practice Telephone | 4013512280 |
| Practice Fax Number | 4017215709 |
| Mailing Telephone | 4013512280 |
| Mailing Fax Number | 4017215709 |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2020-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD15327 | RI | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
278189 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
407 EAST AVE SUITE 250 |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-5290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093798910 | Patricia N Soscia | Specialist | 407 East Ave, Suite 250, Pawtucket, RI 02860 | 2005-11-23 |
| 1245607795 | Rhode Island Hospital | Clinic/Center | 407 East Ave, Suite 250, Pawtucket, RI 02860-5290 | 2015-08-31 |
| 1932520509 | University Internal Medicine Inc | Non-Pharmacy Dispensing Site | 407 East Ave, Suite 120, Pawtucket, RI 02860-5290 | 2013-12-26 |
| 1700135316 | Maria N Barros | Nurse Practitioner | 407 East Ave, Suite 110, Pawtucket, RI 02860-5290 | 2012-08-29 |
| 1376815142 | Erkan Ozturk | Internal Medicine | 407 East Ave, Suite 110, Pawtucket, RI 02860-5290 | 2012-02-08 |
| 1740560812 | Jose D Eugenio-colon | Obstetrics & Gynecology | 407 East Ave, Suite 150, Pawtucket, RI 02860-5290 | 2011-08-22 |
| 1033415682 | Mriganka Singh | Internal Medicine | 407 East Ave, Suite 110, Pawtucket, RI 02860-5290 | 2011-01-30 |
| 1801103650 | Margarita Laporte Bomfim Bockorny | Internal Medicine | 407 East Ave, Suite 250, Pawtucket, RI 02860-5290 | 2010-08-31 |
| 1447582135 | M Aurora Balerdi | Internal Medicine | 407 East Ave, Suite 120, Pawtucket, RI 02860-5299 | 2010-02-04 |
| 1912148198 | Lidia A Vognar | Internal Medicine | 407 East Ave, Suite 110, Pawtucket, RI 02860-5290 | 2009-03-17 |
| 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 | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346500220 | Steven C. Schaub | Internal Medicine | 407 East Ave Ste 250, Pawtucket, RI 02860-5299 | 2012-05-24 |
| 1578970281 | Aruna Tokas | Internal Medicine | 407 East Ave Ste 250, Pawtucket, RI 02860-5299 | 2014-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073560330 | Christopher A. D'arcy | Internal Medicine | 45 Wells Street, Suite 203b, Westerly, RI 02891 | 2006-05-30 |
| 1396794996 | Ralph A Digiacomo Md PC | Internal Medicine | 215 Toll Gate Road, Suite 303, Warwick, RI 02886 | 2006-05-09 |
| 1134195043 | Anthony M Reginato | Internal Medicine | 375 Wampanoag Trail, Suite 202b, E. Providence, RI 02915 | 2006-02-28 |
| 1871590737 | Virginia Schmidt Parker | Internal Medicine | 300 Toll Gate Rd, Warwick, RI 02886-4416 | 2005-07-06 |
| 1285272708 | Edward V. Reardon, Do Ltd | Internal Medicine | 1050 Warwick Ave, Warwick, RI 02888-3655 | 2019-12-16 |
| 1902291099 | Jan M Karczewski | Internal Medicine | 455 Toll Gate Rd, Asp Building Suite Peach, Warwick, RI 02886-2759 | 2015-04-06 |
| 1083012173 | New University Medical Group LLC | Internal Medicine | 50 Maude St, Providence, RI 02908-4325 | 2014-12-05 |
| 1306243910 | May Aldaabil | Internal Medicine | 5750 Post Rd, East Greenwich, RI 02818-2139 | 2014-11-25 |
| 1609272376 | Toder Rheumatology & Osteoporosis Center, P.C. | Internal Medicine | 1524 Atwood Ave, Suite 333, Johnston, RI 02919-3228 | 2014-11-07 |
| 1194120741 | Ri Rheumatology Inc. | Internal Medicine | 1351 S County Trl, Suite 302, East Greenwich, RI 02818-5105 | 2014-10-24 |
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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.