DR. GHAZI ACCAOUI, M.D. INC. (NPI# 1104134154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104134154 |
| Entity Type | Organization |
| Organization Name | DR. GHAZI ACCAOUI, M.D. INC. |
| Other Organization Name | D/B/A INJURY REHABILITATION CENTER. |
| Practice Address |
124 Broad Street. Pawtucket RI 02860-2052 |
| Practice Telephone | 4017296000 |
| Practice Fax Number | 4013122929 |
| Mailing Telephone | 4017296000 |
| Mailing Fax Number | 4013122929 |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2010-09-23 |
| Authorized Official Name | DR. GHAZI ACCAOUI (PRESIDENT) |
| Authorized Official Telephone | 4017296000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 6489 | RI | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 03860 | RI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| D/B/A Injury Rehabilitation Center. | Doing Business As Name - Organization |
| Street Address |
124 BROAD STREET. |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-2052 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235591512 | Hashem Nabil A Akbar | General Practice | 209 Armistice Blvd, Pawtucket, RI 02860 | 2016-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770001356 | Donald Russell Haggerty | General Practice | 246 Island Dr, Middletown, RI 02842-7509 | 2017-09-05 |
| 1326434440 | Upward Health National LLC | General Practice | 188 Valley St Ste 201, Providence, RI 02909-2468 | 2015-04-15 |
| 1306188909 | Albert Edward Dahlberg | General Practice | 185 Meeting St, Room L-254, Sfh, Brown University, Providence, RI 02912-0001 | 2013-03-21 |
| 1528346731 | Thomas E. Mccay | General Practice | 1051 Ten Rod Rd Unit B-210, North Kingstown, RI 02852-4163 | 2011-07-22 |
| 1912237686 | Ralph Patrick Miech | General Practice | 50 Woodcrest Dr, Riverside, RI 02915-1819 | 2010-01-02 |
| 1457588543 | Thomas James Martin | General Practice | 56 Rice St., Pawwtucket, RI 02861-1530 | 2009-06-16 |
| 1316181316 | Simon Melnick Do, Ltd | General Practice | 1050 Main St Unit 8, East Greenwich, RI 02818-3162 | 2009-04-22 |
| 1205096153 | Sheila Steiner | General Practice | 27 Carousel Drive, Riverside, RI 02915 | 2008-06-13 |
| 1679651012 | Jesus Bernal Valdepenas | General Practice | 2447 Pawtucket Avenue, East Providence, RI 02914 | 2006-11-02 |
| 1902812480 | Donald A Nadeau | General Practice | 1312 Oaklaw Ave, Midland Medical, Cranston, RI 02920 | 2006-08-01 |
| Find all providers with the same taxonomy | ||||
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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.