ALVIN C BACON (NPI# 1104836568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104836568 |
| Entity Type | Individual |
| Full Name | ALVIN C BACON |
| Credential | DO |
| Practice Address |
598 Great Rd Lower Level North Smithfield RI 02896-6810 |
| Mailing Address |
33 Chambly Ave Warwick RI 02888-1805 |
| Practice Telephone | 4015346784 |
| Practice Fax Number | 4015345460 |
| Mailing Telephone | 4015346784 |
| Mailing Fax Number | 4015345460 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2012-03-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DO 00461 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CHIP | 400400 | 01 | |
| AETNA | 588384 | 01 | |
| USFHP | 795932 | 01 | |
| RI | 9025378 | 05 | |
| UHC | 0100801 | 01 | |
| CIGNA | 2460971003 | 01 |
| Street Address |
598 GREAT RD LOWER LEVEL |
| City | NORTH SMITHFIELD |
| State | RI |
| Zip Code | 02896-6810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538431036 | Alvin C. Bacon, Inc | Family Medicine | 598 Great Rd, Lower Level, North Smithfield, RI 02896-6810 | 2012-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474042 | Arabia Songs Kopec | Nurse Practitioner | 63-65 Eddie Dowling Highway, North Smithfield, RI 02896 | 2020-07-09 |
| 1245712066 | Successful Solutions Counseling, Inc | Counselor | 117 Eddie Dowling Hwy., Unit Lla, North Smithfield, RI 02896 | 2018-08-29 |
| 1134612906 | Kellsy Ann Parenteau | Assistant Behavior Analyst | 12 Tarklin Pond Drive, North Smithfield, RI 02896 | 2018-06-07 |
| 1134667082 | Mary Greenlund | Physical Therapy Assistant | 261 Main Street Suite 101, North Smithfield, RI 02896 | 2017-02-10 |
| 1134251135 | David R Dubois | Family Medicine | 501 Great Road Unit 102, North Smithfield, RI 02896 | 2007-03-12 |
| 1184776080 | Linda S Young | Nurse Practitioner | 117 Eddie Dowling Hwy Unit B Lowr Level, North Smithfield, RI 02896 | 2007-01-18 |
| 1780748806 | North Smithfield Podiatry Inc | Podiatrist | 249 Eddie Dowling Highway, North Smithfield, RI 02896 | 2006-12-21 |
| 1245398684 | Medical Imaging Associates Inc | Radiology | 100 Eddie Dowling Highway, North Smithfield, RI 02896 | 2006-12-05 |
| 1881799070 | Gregory Paul Stepka | Dentist | 501 Great Road, Suite 207, North Smithfield, RI 02896 | 2006-09-13 |
| 1740296086 | James C Sullivan | Podiatrist | 249 Eddie Dowling Hwy, North Smithfield, RI 02896 | 2006-07-31 |
| Find all providers in zip 02896 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801420534 | Mvc Technologies Usa, Inc | Family Medicine | 63 Eddie Dowling Hwy Ste 8, North Smithfield, RI 02896-7322 | 2020-03-03 |
| 1134251135 | David R Dubois | Family Medicine | 501 Great Road Unit 102, North Smithfield, RI 02896 | 2007-03-12 |
| 1780022236 | Jeffrey Alan Sorokin | Family Medicine | 594 Great Rd, Suite 102a, North Smithfield, RI 02896-6810 | 2013-06-06 |
| 1538431036 | Alvin C. Bacon, Inc | Family Medicine | 598 Great Rd, Lower Level, North Smithfield, RI 02896-6810 | 2012-01-31 |
| 1184756199 | Carol J Dubois | Family Medicine | 501 Great Road Unit 102, North Smithfield, RI 02896 | 2007-03-12 |
| 1750413753 | Drs Dubois & Dubois Ltd | Family Medicine | 501 Great Road, Unit 102, North Smithfield, RI 02896 | 2007-03-12 |
| 1851423743 | Diane I Dubois-hall | Family Medicine | 501 Great Rd, Unit 102, North Smithfield, RI 02896-6833 | 2007-03-09 |
| 1861529158 | John J Solomon | Family Medicine | 594 Great Rd, Suite 103, North Smithfield, RI 02896-6810 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982254876 | Jean Ernst Noel | Family Medicine | 22 Parsonage St # 194, Providence, RI 02903-4758 | 2019-09-12 |
| 1750930103 | Integrated Psychological Services | Family Medicine | 333 School St Ste 109, Pawtucket, RI 02860-5335 | 2019-09-09 |
| 1619526217 | Jean Simon Joel Edouard | Family Medicine | 22 Parsonage St # 184, Providence, RI 02903-4758 | 2019-09-05 |
| 1417417734 | Danielle Turnquest | Family Medicine | 111 Brewster St Bldg 3, Pawtucket, RI 02860-4474 | 2019-03-22 |
| 1841787652 | Southcoast Physicians Group, Inc. | Family Medicine | 670 Aquidneck Avenue, Middletown, RI 02841 | 2018-04-17 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1497253322 | Medi Health and Wellness, LLC | Family Medicine | 80 Lambert Lind Hwy, Warwick, RI 02886-1071 | 2018-01-25 |
| 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 |
| 1538515606 | Benjamin Robinson Adler | Family Medicine | 1079 Main St Ste A, West Warwick, RI 02893-3744 | 2016-05-09 |
| Find all providers with the same taxonomy | ||||
| City | NORTH SMITHFIELD |
| Zip Code | 02896 |
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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.