DR. GINA GERARDINE LA PROVA (NPI# 1184690299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184690299 |
| Entity Type | Individual |
| Full Name | DR. GINA GERARDINE LA PROVA |
| Credential | MD |
| Practice Address |
2140 Mendon Rd Cumberland RI 02864-3843 |
| Practice Telephone | 4016422072 |
| Practice Fax Number | 4013053958 |
| Mailing Telephone | 4016422072 |
| Mailing Fax Number | 4013053958 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2017-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD10894 | RI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 224304 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NEIGHBORHOOD HEALTH PLAN | 1184690299 | 01 | |
| TUFTS AND TUFTS MED PREFERRED | 010894 | 01 | |
| FALLON | 1184690299 | 01 | |
| TRICARE | 042297845 | 01 | |
| GIC/UNICARE | 042297845 | 01 | |
| MA | BCBSMA | J46491 | 01 |
| HARVARD PILGRIM | AA309012 | 01 | |
| UNITED HEALTH CARE | 042297845 | 01 | |
| MA | 110083759A | 05 | |
| NETWORK HEALTH | 92588701 | 01 | |
| RI | BCBS OF RHODE ISLAND | 21435-7 | 01 |
| AETNA | 7981290 | 01 | |
| HCVM | 042297845 | 01 |
| Street Address |
2140 MENDON RD |
| City | CUMBERLAND |
| State | RI |
| Zip Code | 02864-3843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650136 | Jordan Benjamin Raheb | Physician Assistant | 2140 Mendon Rd, Cumberland, RI 02864-3843 | 2019-07-08 |
| 1396274494 | Michael Pacheco | Nurse Practitioner | 2140 Mendon Rd, Cumberland, RI 02864-3843 | 2017-06-12 |
| 1265800023 | Andre Covacha | Physician Assistant | 2140 Mendon Rd, Cumberland, RI 02864 | 2015-09-10 |
| 1508241795 | Ocean State Urgent Care | Physician Assistant | 2140 Mendon Rd, Cumberland, RI 02864-3843 | 2015-07-29 |
| 1417332685 | Natasha R Carvalho | Physician Assistant | 2140 Mendon Rd, Cumberland, RI 02864-3843 | 2015-07-29 |
| 1275971400 | Ocean State Urgent Care Center of Cumberland, LLC | Clinic/Center | 2140 Mendon Rd, Cumberland, RI 02864-3843 | 2013-06-10 |
| 1528359502 | Concentra Health Care Pa | Clinic/Center | 2140 Mendon Rd, Suite 101a, Cumberland, RI 02864-3833 | 2011-04-26 |
| 1427355791 | Nri Pediatrics PC | Pediatrics | 2140 Mendon Rd, Suite 201, Cumberland, RI 02864-3833 | 2011-02-22 |
| 1689975492 | American Current Care Pa | Clinic/Center | 2140 Mendon Rd, Suite 101a, Cumberland, RI 02864-3833 | 2010-11-10 |
| 1730480815 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 2140 Mendon Rd, Suite 101a, Cumberland, RI 02864-3833 | 2010-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855335 | Kalee Kareemo | Physical Therapist | 1764 Mendon Rd., Suite 6, Cumberland, RI 02864 | 2020-09-15 |
| 1861930489 | Emily Elizabeth Sullivan | Registered Nurse | 106 Nate Whipple Hwy Ste 101, Cumberland, RI 02864 | 2017-02-02 |
| 1649613399 | Nathan Charpentier | Pharmacist | 1623 Mendon Rd, Cumberland, RI 02864 | 2013-04-12 |
| 1548503840 | Constantine Pagonis | Internal Medicine | 350 West Wrentham Road, Cumberland, RI 02864 | 2013-04-04 |
| 1124366778 | Tina Deroy | Physical Therapist | 100 Chambers Street, Cumberland, RI 02864 | 2013-01-16 |
| 1437432689 | Concentra Primary Care Pa | Clinic/Center | 2140 Mendon Road, Suite 101a, Cumberland, RI 02864 | 2011-09-23 |
| 1245409978 | Kelly Ann Watier | Massage Therapist | 2180 Mendon Rd, Suite #32, Cumberland, RI 02864 | 2008-02-27 |
| 1003026725 | James Richard Ratcliffe | Dentist | 10 Chambers Street, Cumberland, RI 02864 | 2007-05-23 |
| 1184740706 | Paulo Jorge Da Rosa | Dentist | 20 Mill St., Suite #3, Cumberland, RI 02864 | 2007-03-22 |
| 1942325980 | Angeles V Felix | Dentist | 490 High St, Cumberland, RI 02864 | 2007-03-20 |
| Find all providers in zip 02864 | ||||
| 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 |
|---|---|---|---|---|
| 1245676733 | Cumberland Valley Family Medicine LLC | Family Medicine | 30a N Mechanic St, Cumberland, MD 21502-2314 | 2013-05-11 |
| 1053443978 | Donn R Quinn | Family Medicine | 2130 Mendon Rd, Suite 3-333, Cumberland, RI 02864-3844 | 2007-03-09 |
| 1740317890 | Donald Frederick Manger | Family Medicine | 11600 Bedford Rd Ne, Cumberland, MD 21502-6805 | 2007-02-27 |
| 1346394616 | Jennifer Souther Md Inc | Family Medicine | 30 Martin St, Unit 30a, Cumberland, RI 02864-5321 | 2007-01-23 |
| 1619072626 | David Bryce Brown | Family Medicine | 1758 Anderson Hwy, Central Southside Professionals LLC, Cumberland, VA 23040-2524 | 2006-09-14 |
| 1518074889 | Owen Regan | Family Medicine | 12502 Willowbrook Rd Ste 550, Cumberland, MD 21502-6594 | 2006-08-24 |
| 1184635880 | James R Moen | Family Medicine | 1068 National Highway Rear, Cumberland, MD 21502-7501 | 2006-08-10 |
| 1790707867 | David E Vickery | Family Medicine | 12130 E Washington St, Suite A, Cumberland, IN 46229-2955 | 2006-07-24 |
| 1124046032 | Community Hospitals of Indiana Inc | Family Medicine | 11890 E Welland St, Cumberland, IN 46229-2964 | 2006-07-18 |
| 1386607851 | Terry E Williams LLC | Family Medicine | 500 Memorial Avenue, Suite 301, Cumberland, MD 21502 | 2006-04-07 |
| Find all providers in CUMBERLAND | ||||
| City | CUMBERLAND |
| Zip Code | 02864 |
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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.