KENNETH W FRAVALA (NPI# 1093736936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093736936 |
Entity Type | Individual |
Full Name | KENNETH W FRAVALA |
Other Name | KENNETH W FRAVALA |
Practice Address |
166 Mishnock Rd West Greenwich RI 02817-1669 |
Practice Telephone | 4013977353 |
Practice Fax Number | 4013979030 |
Mailing Telephone | 4013977353 |
Mailing Fax Number | 4013979030 |
Enumeration Date | 2006-07-23 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 146N00000X | Emergency Medical Technician, Basic | 12469 | RI | Emergency Medical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | 9007822 | 05 | |
RI | RI BLUE CROSS | 0000007822 | 01 |
RI | RI BLUE CHIP HMO | BQ409256 | 01 |
Street Address |
166 MISHNOCK RD |
City | WEST GREENWICH |
State | RI |
Zip Code | 02817-1669 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427079367 | Gregory Charles Hitchcock | Emergency Medical Technician, Paramedic | 166 Mishnock Rd, West Greenwich, RI 02817-1669 | 2006-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366919797 | Mary Putera | Psychologist | 216 Plain Rd, West Greenwich, RI 02817 | 2018-10-24 |
1427291152 | Robet James Sedlor | Chiropractor | 16-a Nooseneck Hill Road, West Greenwich, RI 02817 | 2009-04-10 |
1306067665 | Candace Defusco | Registered Nurse | 94 John Potter Road, West Greenwich, RI 02817 | 2007-05-02 |
1720102338 | Exeter-west Greenwich School Distirct | Local Education Agency (LEA) | 940 Nooseneck Hill Rd, West Greenwich, RI 02817 | 2007-03-19 |
1164861811 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 6430 Rockledge Drive, Suite 510, Bethesda, MD 02817 | 2013-06-17 |
1275806028 | Kirsten Lee Johnson | Chiropractor | 16a Nooseneck Hill Road, West Greenwich, RI 02817 | 2012-02-09 |
1215158571 | Patricia Yeamans | Counselor | 94 John Potter Road, West Greenwich, RI 02817 | 2007-05-02 |
1326132994 | Michael Clarence Lafrancois | Emergency Medical Technician, Intermediate | 166 Mishnock Road, West Greenwich, RI 02817 | 2006-10-03 |
1104835420 | Paul Calitri | Dentist | 34 Nooseneck Hill Rd, Unit #1, West Greenwich, RI 02817-1509 | 2006-08-05 |
1205018033 | Lakeside Dental, Inc. | Clinic/Center | 34 Nooseneck Hill Rd, Unit #1, West Greenwich, RI 02817-1509 | 2007-12-04 |
Find all providers in zip 02817 |
Taxonomy Code | 146N00000X |
Grouping | Emergency Medical Service Providers |
Classification | Emergency Medical Technician, Basic |
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174056279 | Zoe Lynn Partridge | Emergency Medical Technician, Basic | 239 Public St, 2nd Floor, Providence, RI 02905-2215 | 2017-04-05 |
City | WEST GREENWICH |
Zip Code | 02817 |
Please comment or provide details below to improve the information on KENNETH W FRAVALA.
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.