ROBERT M SHALVOY (NPI# 1154368926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154368926 |
| Entity Type | Individual |
| Full Name | ROBERT M SHALVOY |
| Credential | M.D. |
| Practice Address |
100 Butler Dr Providence RI 02906-4862 |
| Mailing Address |
Po Box 1119 Providence RI 02901-1119 |
| Practice Telephone | 4013301401 |
| Mailing Telephone | 4013301401 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2014-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
07850 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 9020321 | 05 |
| Street Address |
100 BUTLER DR |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-4862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254479 | Thomas Francis Bliss Jr. | Orthopaedic Surgery | 100 Butler Dr, Providence, RI 02906-4862 | 2005-06-08 |
| 1760917207 | Tyler Ashley Rosa | Physician Assistant | 100 Butler Dr, Providence, RI 02906-4862 | 2017-04-21 |
| 1376955575 | Karyn A. Roda | Physical Therapist | 100 Butler Dr, Providence, RI 02906-4862 | 2014-05-22 |
| 1417293432 | Christopher Paul Gomes | Physical Therapist | 100 Butler Dr, Providence, RI 02906-4862 | 2012-12-19 |
| 1356615124 | University Orthopedics, Inc. | Physical Therapist | 100 Butler Dr, Providence, RI 02906-4862 | 2012-02-27 |
| 1821251950 | Caitlyn Cuthbertson | Specialist | 100 Butler Dr, Providence, RI 02906-4862 | 2008-07-09 |
| 1396854162 | Todd Allen Fellars | Orthopaedic Surgery | 100 Butler Dr, Providence, RI 02906-4862 | 2006-08-29 |
| 1578582086 | Edward J Wojciechowski | Physical Therapist | 100 Butler Dr, Providence, RI 02906-4862 | 2006-07-18 |
| 1164464772 | Richard A Peloquin | Physician Assistant | 100 Butler Dr, Providence, RI 02906-4862 | 2006-06-11 |
| 1699715920 | Christopher W Digiovanni | Orthopaedic Surgery | 100 Butler Dr, Providence, RI 02906-4862 | 2006-06-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295261881 | Mohit M Kukreja | Orthopaedic Surgery | 593 Eddy St, Providence, RI 02903-4923 | 2017-05-03 |
| 1932149887 | Andrew Green | Orthopaedic Surgery | 2 Dudley St, Ste 200, Providence, RI 02905-3236 | 2006-06-08 |
| 1275580714 | Paul D. Fadale | Orthopaedic Surgery | 2 Dudley St, Ste 200, Providence, RI 02905-3236 | 2006-05-30 |
| 1508814062 | Michael Jan Hulstyn | Orthopaedic Surgery | 2 Dudley St, Ste 200, Providence, RI 02905-3236 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881650323 | James O. Maher IIi | Orthopaedic Surgery | 345 Valley Rd, Middletown, RI 02842-5236 | 2006-04-24 |
| 1225444607 | Nathan David Howlett | Orthopaedic Surgery | 120 Centerville Rd, Warwick, RI 02886-4336 | 2014-07-07 |
| 1790859064 | Kenneth J Morrissey | Orthopaedic Surgery | 1150 Reservoir Avenue, Suite 200, Cranston, RI 02920-6064 | 2006-11-20 |
| 1891743068 | David A Moss | Orthopaedic Surgery | 1524 Atwood Ave, Suite 140, Johnston, RI 02919-3228 | 2006-05-04 |
| 1114985041 | Michael James Belanger | Orthopaedic Surgery | 1524 Atwood Ave, Suite 140, Johnston, RI 02919-3228 | 2006-05-02 |
| 1679572838 | Vincent J Yakavonis | Orthopaedic Surgery | 120 Centerville Rd, Warwick, RI 02886-4336 | 2005-07-20 |
| 1922007095 | Franklin E Mirrer | Orthopaedic Surgery | 215 Toll Gate Rd, Suite 206, Warwick, RI 02886-4458 | 2005-07-20 |
| City | PROVIDENCE |
| Zip Code | 02906 |
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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.