GENESIS ELDER CARE PHYSICIAN SERVICES LLC (NPI# 1194774943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194774943 |
| Entity Type | Organization |
| Organization Name | GENESIS ELDER CARE PHYSICIAN SERVICES LLC |
| Practice Address |
660 Commonwealth Avenue Warwick RI 02886-2707 |
| Mailing Address |
Po Box 42738 Towson MD 21284-2738 |
| Practice Telephone | 4017394241 |
| Practice Fax Number | 4017323358 |
| Mailing Telephone | 8606873629 |
| Mailing Fax Number | 8606873622 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2018-04-12 |
| Authorized Official Name | MARGARET JEAN BAKER (DIR OF BUS OPS) |
| Authorized Official Telephone | 4104947607 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
NPP37084 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 9004790 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245579762 | Genesis Elder Care Physician Services LLC | Internal Medicine | 6508 Deer Pointe Dr Ste A, Salisbury, MD 21804 | 2013-02-04 |
| 1447510714 | Genesis Elder Care Physician Services LLC | Skilled Nursing Facility | 200 Civic Ave, Salisbury, MD 21804-4599 | 2012-05-21 |
| 1326283045 | Genesis Elder Care Physician Services LLC | Internal Medicine | 6508 Deer Pointe Dr, Suite A, Salisbury, MD 21804-1668 | 2008-12-09 |
| 1285653451 | Genesis Elder Care Physician Services LLC | Family Medicine | 161 Bakers Ridge Rd, Morgantown, WV 26508-1459 | 2006-07-19 |
| Street Address |
660 COMMONWEALTH AVENUE |
| City | WARWICK |
| State | RI |
| Zip Code | 02886-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694445 | Sheri Lynn Sklarz | Specialist | 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 | 2020-03-23 |
| 1316581424 | Dr. Degiulio & Associates Inc | Optometrist | 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 | 2019-10-31 |
| 1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
| 1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1538687520 | David A. Bennett | Registered Nurse | 2756 Post Road, Warwick, RI 02886 | 2017-08-30 |
| 1427585223 | Brittany Teixeira | Counselor | 85 Earl Street, Warwick, RI 02886 | 2017-05-11 |
| 1497125199 | Aiden Philip Cwynar | Optometrist | 1050 Centerville Road, Warwick, RI 02886 | 2015-10-07 |
| 1104221738 | Wilfredo L Sancianco Dmd Inc | Preferred Provider Organization | 3411 W Shiore Rd, Warwick, RI 02886 | 2014-10-24 |
| 1831508662 | Matthew Bryant Mitchell | Physical Therapist | 400 Bald Hill Rd #511, Warwick, RI 02886 | 2014-08-06 |
| Find all providers in zip 02886 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477843696 | Edward Westrick | Internal Medicine | 300 Quaker Ln # C2-4, Warwick, RI 02886-0159 | 2011-04-08 |
| 1609891944 | John L. Fiore | Internal Medicine | 22 Van Duzer Pl, Warwick, NY 10990-1014 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366646820 | Kimberly A Dodd | Internal Medicine | 150 Chestnut St Ste 4, Providence, RI 02903-4649 | 2007-06-11 |
| 1730143025 | James David Burrill | Internal Medicine | 9 Thomas Dr, Lincoln, RI 02865-4914 | 2006-04-13 |
| 1578547212 | Naomi Y Mcmackin | Internal Medicine | Memorial Hospital of Ri, 111 Brewster Street, Pawtucket, RI 02860-1400 | 2005-12-06 |
| 1194715060 | Edward W Martin | Internal Medicine | 169 George St, Pawtucket, RI 02860-3853 | 2005-10-24 |
| 1205822277 | Michael Klufas | Internal Medicine | 525 Broad St, Suite 103, Cumberland, RI 02864-6919 | 2005-09-23 |
| 1346760568 | Marilyne Cadieux | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2017-06-20 |
| 1568831162 | Gps Physician Group of Rhode Island PC | Internal Medicine | 10 Woodland Dr, Coventry, RI 02816-6716 | 2015-09-24 |
| 1588001531 | Ramesh Adhikari | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2013-05-31 |
| 1235576380 | Sylvester Sarfraz | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2013-05-30 |
| 1376815142 | Erkan Ozturk | Internal Medicine | 407 East Ave, Suite 110, Pawtucket, RI 02860-5290 | 2012-02-08 |
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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.