BRIAN F PONTARELLI (NPI# 1194804831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194804831 |
| Entity Type | Individual |
| Full Name | BRIAN F PONTARELLI |
| Credential | DPM |
| Practice Address |
486 Silver Spring St Providence RI 02904 |
| Mailing Address |
250 Wampanoag Trail Suite 205 Rhode Island Foot Care Inc East Providence RI 02915 |
| Practice Telephone | 4017512660 |
| Practice Fax Number | 4017519990 |
| Mailing Telephone | 4014310283 |
| Mailing Fax Number | 4014385956 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2008-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
DPM00294 | RI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 7007118 | 05 |
| Street Address |
486 SILVER SPRING ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639165004 | Evelyn Asante | Nurse Practitioner | 486 Silver Spring St, Providence, RI 02904-1556 | 2005-09-21 |
| 1982789483 | Albert K Weyman | Surgery | 486 Silver Spring St, Providence, RI 02904-1556 | 2006-10-25 |
| 1124101258 | Robert B Patterson | Surgery | 486 Silver Spring St, Providence, RI 02904-1556 | 2006-10-23 |
| 1437232543 | Providence Surgical Care Group, Incorporated | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 486 Silver Spring St, Providence, RI 02904-1556 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871123372 | Lepoer Podiatry, Inc. | Podiatrist | 1 Randall Sq Ste 408, Providence, RI 02904-7405 | 2020-01-23 |
| 1659788735 | Brandi Kimble | Podiatrist | 825 Chalkstone Avenue, Providence, RI 02908 | 2014-07-21 |
| 1518584051 | Joseph Allard Weaver | Podiatrist | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-01 |
| 1346867884 | Nicholas Cronin | Podiatrist | 825 Chalkstone Avenue, Medical Education, Attn: Susan Saccoccia, Providence, RI 02908 | 2020-07-01 |
| 1255992392 | Tejal Parag Parikh | Podiatrist | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2019-06-27 |
| 1427619568 | Mark Stephen Messana | Podiatrist | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2019-06-27 |
| 1700108644 | Latricia Love Allen | Podiatrist | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2010-02-19 |
| 1043428634 | Russell Jay Buttars | Podiatrist | 272 N Spring Creek Pkwy, Providence, UT 84332-9775 | 2007-05-18 |
| 1194846154 | Federal Hill Podiatry Group | Podiatrist | 201 Broadway, Providence, RI 02903-3015 | 2007-04-03 |
| 1811042732 | Louis R. Simeone,dpm,ltd | Podiatrist | 1180 Smith St, 1st Floor, Providence, RI 02908-2034 | 2007-01-23 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02904 |
Please comment or provide details below to improve the information on BRIAN F PONTARELLI.
| 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.