KEITH BENTLEY (NPI# 1093354573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093354573 |
| Entity Type | Individual |
| Full Name | KEITH BENTLEY |
| Practice Address |
962 Warwick Ave Warwick RI 02888-3650 |
| Mailing Address |
227 Park St Apt 2b Attleboro MA 02703-8804 |
| Practice Telephone | 5087289948 |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2020-04-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
962 WARWICK AVE |
| City | WARWICK |
| State | RI |
| Zip Code | 02888-3650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003813866 | Michael John Cobb | Physician Assistant | 962 Warwick Ave, Warwick, RI 02888-3650 | 2005-07-07 |
| 1083898498 | Lucille Vega Md, Inc. | Family Medicine | 962 Warwick Ave, Warwick, RI 02888-3650 | 2007-12-20 |
| 1740323229 | Shawn Anthony Howland | Emergency Medicine | 962 Warwick Ave, Warwick, RI 02888-3650 | 2007-02-15 |
| 1972551489 | Dian Joan Cullion | Physician Assistant | 962 Warwick Ave, Warwick, RI 02888-3650 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639644164 | Paul J Rocchio | Counselor | 2020 Elmwood Avenue Bridgemark, Inc., Warwick, RI 02888 | 2018-10-11 |
| 1184147811 | Alyssa Campagnone | Optometrist | 222 Jefferson Blvd Fl 3, Warwick, RI 02888 | 2017-07-25 |
| 1215204698 | Nicolette Fraza | Dietitian, Registered | 37 General Hawkinds Dr, Warwick, RI 02888 | 2011-11-29 |
| 1043431042 | Double Vision Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1168 Warwick Ave, Warwick, RI 02888 | 2007-05-01 |
| 1205059037 | Richard Mark Goldenberg | Dentist | 708 Warwick Avenue, Warwick, RI 02888 | 2007-04-10 |
| 1558486068 | Richard Michael Bello | Optometrist | 1168 Warwick Avenue, Warwick, RI 02888 | 2007-03-21 |
| 1407997687 | Michael M Gooding | Dentist | 1422 Warwick Avenue, Warwick, RI 02888 | 2007-02-09 |
| 1528109246 | Kristie A. Ervanian | Counselor | 1087 Warwick Ave Rear Unit, Warwick, RI 02888 | 2007-02-08 |
| 1457417883 | Eugene Milton Dandrea | Psychologist | 1434 Warwick Avenue, Warwick, RI 02888 | 2006-12-29 |
| 1689750044 | Lucille C Vega | Family Medicine | 962 Warwick Avenue, Warwick, RI 02888 | 2006-10-28 |
| Find all providers in zip 02888 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619591070 | Alexandra L Conrad | Physician Assistant | 48 Gaspee Point Dr, Warwick, RI 02888-4918 | 2020-06-02 |
| 1104318427 | Nicholas Ivar Cookson | Physician Assistant | 127 Prospect St, Warwick, RI 02886-7138 | 2018-06-01 |
| 1689191553 | Mary Catherine Maher | Physician Assistant | 535 Centerville Rd Ste 102, Warwick, RI 02886-4376 | 2017-08-23 |
| 1881001386 | Alexa Marie Joanow | Physician Assistant | 40 Horizon Farms Dr, Warwick, NY 10990-2260 | 2014-07-16 |
| 1134106750 | Martina Marie Schulz | Physician Assistant | 176 Tollgate Rd, Warwick Psych Center, Warwick, RI 02886 | 2005-12-23 |
| 1053319038 | Michelle L. Tautkus | Physician Assistant | 475 Kilvert Street, Suite 310, Warwick, RI 02886 | 2005-07-13 |
| 1003813866 | Michael John Cobb | Physician Assistant | 962 Warwick Ave, Warwick, RI 02888-3650 | 2005-07-07 |
| 1326662362 | Melissa Nicole Martino | Physician Assistant | 857 Post Rd, Warwick, RI 02888-3360 | 2020-06-05 |
| 1083265003 | Kayla Resch | Physician Assistant | 535 Centerville Rd, Warwick, RI 02886-4486 | 2019-09-20 |
| 1104386895 | Vincent Alexandre | Physician Assistant | 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 | 2019-03-20 |
| Find all providers in WARWICK | ||||
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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.