DR. PAMELA JO SAN ANTONIO (NPI# 1215913215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215913215 |
| Entity Type | Individual |
| Full Name | DR. PAMELA JO SAN ANTONIO |
| Credential | MD |
| Practice Address |
161 Airport Road Warwick RI 02889 |
| Practice Telephone | 4017374282 |
| Practice Fax Number | 4017386896 |
| Mailing Telephone | 4017374282 |
| Mailing Fax Number | 4017386896 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2014-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 6409 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | STATE LICENSE | 6409 | 01 |
| RI | BCBS | 200408 | 01 |
| TUFTS HEALTH PLAN | 406495 | 01 | |
| RI | 9920040 | 05 | |
| HARVARD PILGRIM INS | A3417A | 01 | |
| UNITED HEALTH PLAN | 1200217 | 01 | |
| CIGNA INSURANCE | 4720780 | 01 | |
| RI | NEIGHBORHOOD HEALTH PLAN | 6591 | 01 |
| RI | CHCP BLUE CHIP | 201242 | 01 |
| Street Address |
161 AIRPORT ROAD |
| City | WARWICK |
| State | RI |
| Zip Code | 02889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801287933 | Alan Ezovski | Social Worker | 105 West Shore Road, Warwick, RI 02889 | 2015-02-11 |
| 1093119315 | Etta Oye | Nurse Practitioner | 44 Beatrice Ave., Warwick, RI 02889 | 2014-10-15 |
| 1114261799 | Chantele Petrocelli | Counselor | 177 Airport Rd, Warwick, RI 02889 | 2012-11-20 |
| 1982803185 | Jody J Ritter | Counselor | 66 Rocky Point Ave., Warwick, RI 02889 | 2007-07-17 |
| 1205958030 | Albert M Glucksman | Optometrist | 1624 Warwick Ave, Warwick, RI 02889 | 2007-04-04 |
| 1558486639 | Bayside Nursing LLC | Home Health | 177 Airport Road, Warwick, RI 02889 | 2007-03-20 |
| 1760547582 | Child Inc. | Social Worker | 160 Draper Avenue, Warwick, RI 02889 | 2006-12-22 |
| 1760431514 | David W Pearson | Psychiatry & Neurology | 1087 Warwick Ave., Warwick, RI 02889 | 2006-05-09 |
| 1417072273 | Bayside Nursing LLC | Home Health | 177 Airport Road, Warwick, RI 02889 | 2007-03-20 |
| 1013075373 | Joel H Harrison Dmd Ltd | Dentist | 230 Airport Rd, Warwick, RI 02889 | 2006-12-05 |
| Find all providers in zip 02889 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992152219 | Liza Cantor | Pediatrics | 300 Centerville Rd # 110, Warwick, RI 02886-0200 | 2016-05-17 |
| 1063765196 | Kathleen Ann Calenda | Pediatrics | 185 Joseph Ct, Warwick, RI 02886 | 2012-10-26 |
| 1558469437 | Jeffrey S Horowitz | Pediatrics | 10 Ronald Reagan Blvd, Warwick, NY 10990-4104 | 2006-09-21 |
| 1720190267 | Alla Matsievskaya | Pediatrics | 430 Toll Gate Rd, Warwick, RI 02886-2715 | 2006-08-31 |
| 1184650376 | Warwick Pediatrics, P.c | Pediatrics | 3 Saint Stephens Ln, Suite 3, Warwick, NY 10990-3208 | 2006-06-23 |
| 1386697357 | Anthony J Alario | Pediatrics | 300 Centerville Rd Ste 110, Warwick, RI 02886-0200 | 2006-05-18 |
| 1407835614 | Gail R Brown | Pediatrics | 315 Commonwealth Ave, Warwick, RI 02886-2778 | 2006-01-16 |
| 1316923352 | Johnny Chavarria | Pediatrics | 161 Airport Rd, Warwick, RI 02889-1031 | 2005-12-21 |
| 1548263494 | Howard Mintz | Pediatrics | 300 Centerville Rd, The Summit East, Suite 110, Warwick, RI 02886-0200 | 2005-05-24 |
| 1578857611 | Laura Dawson | Pediatrics | 176 Toll Gate Rd, Suite 101, Warwick, RI 02886-4482 | 2011-06-07 |
| Find all providers in WARWICK | ||||
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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.