DAWN MARIE JENISON (NPI# 1194907790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194907790 |
| Entity Type | Individual |
| Full Name | DAWN MARIE JENISON |
| Other Name | DAWN MARIE TOBOJKA |
| Credential | PA-C |
| Practice Address |
208 Collyer St Thoracic and Cardiovascular Surgical Center Providence RI 02904-1560 |
| Mailing Address |
152 Rodman Ln North Kingstown RI 02852-7549 |
| Practice Telephone | 4013503894 |
| Mailing Telephone | 4013398145 |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2016-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA-00304 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
208 COLLYER ST THORACIC AND CARDIOVASCULAR SURGICAL CENTER |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02904-1560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144225673 | Robert Anthony Indeglia | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208 Collyer St, Providence, RI 02904-1560 | 2005-06-21 |
| 1386284768 | Megan E Silveira | Nurse Practitioner | 208 Collyer St, Providence, RI 02904-1560 | 2020-01-13 |
| 1982123808 | Katie Michelle Seleznev | Nurse Practitioner | 208 Collyer St, Providence, RI 02904-1560 | 2017-09-12 |
| 1851677470 | The Miriam Hospital | Internal Medicine | 208 Collyer St, Suite 100, Providence, RI 02904-1560 | 2011-10-27 |
| 1033448881 | Mark James Nash | Physician Assistant | 208 Collyer St, Providence, RI 02904-1560 | 2009-12-08 |
| 1942474895 | Binu Philips | Internal Medicine | 208 Collyer St, Suite 100, Providence, RI 02904-1560 | 2008-04-22 |
| 1386764785 | Leslie Aileen Roth | Surgery | 208 Collyer St, Suite 302, Providence, RI 02904-1560 | 2007-03-30 |
| 1427185792 | Gail Evelyn Bunce | Nurse Practitioner | 208 Collyer St, Providence, RI 02904-1560 | 2007-02-27 |
| 1295885283 | Jacqueline Fasulo Pierce | Physical Therapist | 208 Collyer St, Pulmonary Rehab, Providence, RI 02904-1560 | 2007-01-11 |
| 1346260676 | Jonathan Elion | Internal Medicine | 208 Collyer St, Ste 100, Providence, RI 02904 | 2006-07-20 |
| Find all providers in the same location | ||||
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356900591 | Ryan O'kelly | Physician Assistant | 285 Promenade St, Providence, RI 02908 | 2019-06-11 |
| 1558841999 | Lindsey Scherer | Physician Assistant | 825 Chalkstone Ave, Providence, RI 02908 | 2018-08-15 |
| 1134658339 | Kevin P Santilli | Physician Assistant | 593 Eddy St, Providence, RI 02903-4923 | 2017-06-09 |
| 1194260984 | Brittany Hogan | Physician Assistant | 593 Eddy St, 6th Floor, Providence, RI 02903-4923 | 2017-01-03 |
| 1356789549 | Michelle Bernice Ristuccia | Physician Assistant | 164 Summit Ave # C70, Providence, RI 02906-2853 | 2013-06-10 |
| 1356691430 | Kelvin Nam Doan | Physician Assistant | 164 Summit Ave # C70, Providence, RI 02906-2853 | 2012-09-14 |
| 1588911457 | Britta Renzulli | Physician Assistant | 2 Dudley St, Suite 190, Providence, RI 02905-3236 | 2012-08-10 |
| 1174896211 | Stephanie Slone | Physician Assistant | 593 Eddy St, Providence, RI 02903-4923 | 2012-02-21 |
| 1316210545 | Peter Richard Mello | Physician Assistant | 118 Dudley St, Providence, RI 02905-2403 | 2012-02-19 |
| 1679844807 | Joseph Paul Paciello | Physician Assistant | 2 Dudley St, Providence, RI 02905-3236 | 2012-01-19 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02904 |
Please comment or provide details below to improve the information on DAWN MARIE JENISON.
| 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.