STILLWATER PRIMARY CARE LTD (NPI# 1174141345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174141345 |
Entity Type | Organization |
Organization Name | STILLWATER PRIMARY CARE LTD |
Practice Address |
712 Putnam Pike Unit 2 Chepachet RI 02814-1404 |
Practice Telephone | 4017104280 |
Practice Fax Number | 4017104277 |
Mailing Telephone | 4017104280 |
Mailing Fax Number | 4017104277 |
Enumeration Date | 2020-07-14 |
Last Update Date | 2020-10-26 |
Authorized Official Name | MR. JOSEPH DESROSIERS II (PRESIDENT) |
Authorized Official Telephone | 4017104280 |
Authorized Official Credential | PA-C |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Street Address |
712 PUTNAM PIKE UNIT 2 |
City | CHEPACHET |
State | RI |
Zip Code | 02814-1404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447753728 | Joseph Desrosiers II | Physician Assistant | 712 Putnam Pike Unit 2, Chepachet, RI 02814-1404 | 2018-03-13 |
1649760067 | Walter J Hooper IIi | Physician Assistant | 712 Putnam Pike Unit 2, Chepachet, RI 02814-1404 | 2018-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396950762 | Orthodontic Partners Ltd | Dentist | 1109 Putnam Pike, Chepachet, RI 02814 | 2007-05-11 |
1679691513 | Chepachet Fire District | Ambulance | 1170 Putnam Pike, Chepachet, RI 02814 | 2007-03-27 |
1609950831 | Clayton D Lanphear IIi | Family Medicine | 1133 Main St, Chepachet, RI 02814 | 2006-10-24 |
1578652400 | Heritage Podiatry, Inc. | Podiatrist | 5 Money Hill Road, Chepachet, RI 02814 | 2006-10-11 |
1295832186 | Matthew Michael Stone | Chiropractor | 712 Putnam Pike, Unit # 4, Chepachet, RI 02814 | 2006-09-20 |
1730364316 | Glocester Family Chiropractic, Inc | Chiropractor | 712 Putnam Pike, Unit # 4, Chepachet, RI 02814 | 2008-01-02 |
1184731879 | Chepachet Pharmacy, Inc. | Pharmacy | 15 Money Hill Rd, Chepachet, RI 02814-0901 | 2006-08-25 |
1669460028 | West Glocester Fire Tax District | Ambulance | 2410 Putnam Pike, Chepachet, RI 02814-1147 | 2005-10-11 |
1932715356 | Brianna Putnam | Nurse Practitioner | 44 Brandy Brook Rd, Chepachet, RI 02814-1207 | 2020-09-21 |
1750537056 | Heritage Podiatry Inc. | Clinic/Center | 5 Money Hill Rd, Chepachet, RI 02814-1304 | 2008-08-18 |
Find all providers in zip 02814 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700420106 | Alexa S Gladstone | Clinic/Center | 333 School St # 112, Pawtucket, RI 02860-5334 | 2019-10-30 |
1437432689 | Concentra Primary Care Pa | Clinic/Center | 2140 Mendon Road, Suite 101a, Cumberland, RI 02864 | 2011-09-23 |
1568667848 | Wellnorth Medical LLC | Clinic/Center | 1630 Mineral Spring Ave, 2, North Providence, RI 02904-4025 | 2007-06-18 |
1235275207 | Summit Medical Group | Clinic/Center | 100 Highland Ave Ste 307, Providence, RI 02906-2753 | 2007-01-29 |
1356965859 | Berghelli Internal Medicine, LLC | Clinic/Center | 2358 S County Trl, East Greenwich, RI 02818-1583 | 2020-06-01 |
1063984813 | Osh - Ri Physicians Group, PC | Clinic/Center | 300 Quaker Ln # C2-4, Warwick, RI 02886-0159 | 2018-12-18 |
1407222789 | Direct Doctors, Inc. | Clinic/Center | 320 Phillips St Ste 203, North Kingstown, RI 02852-5149 | 2015-08-20 |
1386041507 | Family Doctor Plus Ri LLC | Clinic/Center | 553 Kingstown Rd, Wakefield, RI 02879-3600 | 2014-12-03 |
1255606844 | Concentra Primary Care Pa | Clinic/Center | 400 Bald Hill Rd, Suite 511, Warwick, RI 02886-1617 | 2012-03-14 |
1548538473 | Primary Care Partners | Clinic/Center | 2756 Post Rd, Warwick, RI 02886-3003 | 2011-12-07 |
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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.