FEDERAL HILL PODIATRY GROUP (NPI# 1194846154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194846154 |
| Entity Type | Organization |
| Organization Name | FEDERAL HILL PODIATRY GROUP |
| Other Organization Name | JOSEPH A DECESARE DPM |
| Practice Address |
201 Broadway Providence RI 02903-3015 |
| Practice Telephone | 4014219167 |
| Practice Fax Number | 4014219193 |
| Mailing Telephone | 4014219167 |
| Mailing Fax Number | 4014219193 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2011-08-26 |
| Authorized Official Name | DR. JOSEPH A DECESARE (OWNER) |
| Authorized Official Telephone | 4014219167 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
DPM00240 | RI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | NEIGHBORHOOD J A DECESARE | 2343 | 01 |
| RI | BLUECHIP J A DECESARE DP | 400515 | 01 |
| RI | FH00185 | 05 | |
| RI | BLUECHIP GROUP ID | 0000007071 | 01 |
| RI | CIGNA | 0137515002 | 01 |
| RI | WPS TRICARE GROUP ID | R003457 | 01 |
| RI | BCBS RI GROUP ID | 0000007071 | 01 |
| RI | NEIGHBORHOOD GROUP ID | 0357 | 01 |
| RI | AETNA | 0005779230 | 01 |
| RI | BCBS MA GROUP ID | ZE5188 | 01 |
| Other Name | Type Code |
|---|---|
| Joseph A DeCesare DPM | Doing Business As Name - Organization |
| Street Address |
201 BROADWAY |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903-3015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962437442 | Alan R. Nowick, Dpm | Podiatrist | 201 Broadway, Providence, RI 02903-3015 | 2006-07-12 |
| 1104959832 | Joseph A Decesare | Podiatrist | 201 Broadway, Providence, RI 02903-3015 | 2007-03-13 |
| 1346269875 | Alan R Nowick | Podiatrist | 201 Broadway, Providence, RI 02903-3015 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| 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 |
| 1811042732 | Louis R. Simeone,dpm,ltd | Podiatrist | 1180 Smith St, 1st Floor, Providence, RI 02908-2034 | 2007-01-23 |
| 1194804831 | Brian F Pontarelli | Podiatrist | 486 Silver Spring St, Providence, RI 02904 | 2006-11-03 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02903 |
Please comment or provide details below to improve the information on FEDERAL HILL PODIATRY GROUP.
| 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.