DR. KENNETH J MORRISSEY, MD PC (NPI# 1164540753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164540753 |
| Entity Type | Organization |
| Organization Name | DR. KENNETH J MORRISSEY, MD PC |
| Practice Address |
1150 Reservoir Ave Suite 200 Cranston RI 02920-6068 |
| Practice Telephone | 4019448700 |
| Practice Fax Number | 4019448767 |
| Mailing Telephone | 4019448700 |
| Mailing Fax Number | 4019448767 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2012-05-14 |
| Authorized Official Name | DR. KENNETH J MORRISSEY (ORTHOPAEDIC SURGEON) |
| Authorized Official Telephone | 4019448700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD06505 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 9002080 | 05 | |
| RI | BLUE CHIP | 200054 | 01 |
| Street Address |
1150 RESERVOIR AVE SUITE 200 |
| City | CRANSTON |
| State | RI |
| Zip Code | 02920-6068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831183904 | Paul William Roderick | Internal Medicine | 1150 Reservoir Ave, Suite 201, Cranston, RI 02920-6068 | 2005-09-06 |
| 1558807180 | Atlantic Audiology, Inc. | Audiologist-Hearing Aid Fitter | 1150 Reservoir Ave, Suite 305b, Cranston, RI 02920-6068 | 2017-01-06 |
| 1063753671 | Michael Lee Jacobs | Physical Therapist | 1150 Reservoir Ave, Suite 103, Cranston, RI 02920-6068 | 2013-03-06 |
| 1558676551 | John A Pella M D Ltd | Internal Medicine | 1150 Reservoir Ave, Suite 305, Cranston, RI 02920-6068 | 2010-08-13 |
| 1821312646 | Garden City Rehabilitation Center, LLC | Clinic/Center | 1150 Reservoir Ave, Suite 103, Cranston, RI 02920-6068 | 2010-03-23 |
| 1144559188 | Jessica Medina | Optometrist | 1150 Reservoir Ave, Cranston, RI 02920-6068 | 2009-12-22 |
| 1437312212 | Atlantic Hearing Center Inc | Audiologist | 1150 Reservoir Ave, Ste. 305b, Cranston, RI 02920-6068 | 2008-07-02 |
| 1639341050 | Dawn Barboza | Massage Therapist | 1150 Reservoir Ave, Suite 305b, Cranston, RI 02920-6068 | 2008-03-26 |
| 1851562581 | Carine Leconte Md, Inc | Pediatrics | 1150 Reservoir Ave, Suite 205, Cranston, RI 02920-6068 | 2008-03-20 |
| 1205007226 | Micheline Gauthier | Audiologist | 1150 Reservoir Ave, Suite 305b, Cranston, RI 02920-6068 | 2008-03-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184262198 | Beacon Dental Health Ri, PC | Clinic/Center | Beacon Dental Health Ri, P.C., 1090 New London Avenue, Cranston, RI 02920 | 2019-12-20 |
| 1821642240 | Jaime L Nixon | Dietitian, Registered | 444 Meshanticut Valley Parkway, Apt 37, Cranston, RI 02920 | 2019-07-25 |
| 1164923553 | Codac Inc | Peer Specialist | 3 Regan Ct, Cranston, RI 02920 | 2018-02-22 |
| 1144673096 | Joanne Le | Optometrist | 1400 Oaklawn Ave., Cranston, RI 02920 | 2016-07-15 |
| 1053790733 | Alanna Conley | Speech-Language Pathologist | 45 Sockanosset Cross Rd Ste 100, Cranston, RI 02920 | 2015-05-27 |
| 1114322740 | Nicole Enos | Physical Therapist | 51 Sockanosset Crossroad, Cranston, RI 02920 | 2014-10-24 |
| 1841622313 | Courtney Faiith Oliver | Occupational Therapy Assistant | 150 Midway Road, Suite 173, Cranston, RI 02920 | 2013-08-06 |
| 1386086403 | Sarah Gonzalez | Marriage & Family Therapist | 105 Sockanosset Cross Rd Ste 102, Cranston, RI 02920 | 2013-07-18 |
| 1902246788 | Amanda Lee Zarriello | Physical Medicine & Rehabilitation | 10 Worthington Rd, Cranston, RI 02920 | 2013-06-26 |
| 1962742528 | Yatyee Lee | Counselor | 141 Elmwood Avenue, Cranston, RI 02920 | 2013-02-19 |
| Find all providers in zip 02920 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437234929 | William S Buonanno | Orthopaedic Surgery | 35 Sockanossett Crossroad, Cranston, RI 02920-3503 | 2006-10-25 |
| 1629279989 | William S. Buonanno, Md.,inc. | Orthopaedic Surgery | 35 Sockanossett Crossroad, Suite 3, Cranston, RI 02920 | 2007-05-31 |
| 1215964465 | Orthopaedic Associates, Inc. | Orthopaedic Surgery | 725 Reservoir Ave, Cranston, RI 02910 | 2006-06-26 |
| 1285620138 | Gregory James Austin | Orthopaedic Surgery | 725 Reservoir Ave, #101, Cranston, RI 02910-4448 | 2005-09-26 |
| 1093701948 | Michael Peter Mariorenzi | Orthopaedic Surgery | 725 Reservoir Ave, #101, Cranston, RI 02910-4448 | 2005-09-26 |
| 1265428114 | Amedeo Louis Mariorenzi | Orthopaedic Surgery | 725 Reservoir Ave, Cranston, RI 02910 | 2005-09-26 |
| 1194710814 | Louis John Mariorenzi | Orthopaedic Surgery | 725 Reservoir Ave, #101, Cranston, RI 02910-4448 | 2005-09-19 |
| 1912992645 | Sidney Premer Migliori | Orthopaedic Surgery | 725 Reservoir Ave, Number 101, Cranston, RI 02910-4448 | 2005-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427521830 | University Orthopedics, Inc. | Orthopaedic Surgery | 1351 Smith St Ste 103, North Providence, RI 02911-3340 | 2019-01-08 |
| 1811474224 | University Orthopedics, Inc. | Orthopaedic Surgery | 1598 S County Trl Ste 203, East Greenwich, RI 02818-1762 | 2018-07-27 |
| 1841741931 | Orthopedics Rhode Island, Inc | Orthopaedic Surgery | 268 Post Road, Westerly, RI 02891 | 2016-10-24 |
| 1730638404 | University Orthopedics, Inc. | Orthopaedic Surgery | 300 Industrial Way, Tiverton, RI 02878-3128 | 2016-09-23 |
| 1730430778 | Anthony Frank Merlino | Orthopaedic Surgery | 2 Country Side Drive, North Providence, RI 02904-3419 | 2012-10-01 |
| 1154682623 | John Walter Hayes | Orthopaedic Surgery | 220 Day Lily Cir, South Kingstown, RI 02879-5498 | 2012-05-31 |
| 1386948719 | Geret A Du Bois Md, Inc | Orthopaedic Surgery | 330 Cottage St, Pawtucket, RI 02860 | 2010-12-28 |
| 1851556849 | Stephan D Deutsch | Orthopaedic Surgery | 1 Wayland Ave Unit 316n, Providence, RI 02906-4565 | 2008-07-19 |
| 1215190152 | Robert J. Fortuna, Md,ltd | Orthopaedic Surgery | 211 Armistice Blvd, Pawtucket, RI 02860-3242 | 2008-07-09 |
| 1568642411 | Michael Anthony De Luca | Orthopaedic Surgery | 683 Neck Rd, Tiverton, RI 02878-4011 | 2007-11-08 |
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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.