ROGER WILLIAMS HOSPITAL (NPI# 1215974365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215974365 |
| Entity Type | Organization |
| Organization Name | ROGER WILLIAMS HOSPITAL |
| Other Organization Name | ROGER WILLIAMS PRIMARY CARE PHYICIAN GROUP |
| Practice Address |
825 Chalkstone Ave Providence RI 02908-4728 |
| Practice Telephone | 4014562677 |
| Practice Fax Number | 4014566742 |
| Mailing Telephone | 4014562525 |
| Mailing Fax Number | 4014566742 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2011-09-09 |
| Authorized Official Name | KENNETH BELCHER (A/R ANALYST) |
| Authorized Official Telephone | 4014562000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BLUE CROSS OF RHODE ISLAN | 0000025163 | 01 |
| Other Name | Type Code |
|---|---|
| ROGER WILLIAMS PRIMARY CARE PHYICIAN GROUP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356513527 | Roger Williams Hospital | Rehabilitation, Substance Use Disorder Unit | 825 Chalkstone Ave, Providence, RI 02908-4735 | 2008-03-28 |
| 1144254038 | Roger Williams Hospital | Radiology | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2006-07-10 |
| 1053345942 | Roger Williams Hospital | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2006-07-10 |
| 1275561953 | Roger Williams Hospital | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2006-06-29 |
| 1568408987 | Roger Williams Hospital | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2006-06-22 |
| 1689658791 | Roger Williams Hospital | Psychiatric Unit | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2005-12-01 |
| 1750375804 | Roger Williams Hospital | Ambulance | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2005-09-06 |
| Street Address |
825 CHALKSTONE AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02908-4728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459263 | Ritesh Rathore | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2005-07-07 |
| 1821698903 | Afsana Jahan | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-10-28 |
| 1861090508 | Anthony Joseph Paoletta | Social Worker | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-10-14 |
| 1255941720 | Georgio Medawar | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-08-08 |
| 1265042733 | Jessica Khoury | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-08-08 |
| 1215547617 | Amy Remillard | Social Worker | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-31 |
| 1225647738 | Abdallah Mohamed | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-30 |
| 1467061309 | Catherine Ekladios | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-27 |
| 1982213948 | Jamal Al Ali | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-27 |
| 1811506793 | Sadollah Ghasempour Soleymani | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771900 | Horizon Wellness | Clinic/Center | 1339 Smith St, North Providence, RI 02908 | 2017-10-12 |
| 1477098069 | Beth Perry | Nurse Practitioner | 830 Chalstone Ave., Providence, RI 02908 | 2017-01-05 |
| 1659788735 | Brandi Kimble | Podiatrist | 825 Chalkstone Avenue, Providence, RI 02908 | 2014-07-21 |
| 1912253675 | Roger Williams Medical Center | Long Term Care Hospital | 25 Chalkstone Ave, Providence, RI 02908 | 2012-07-31 |
| 1669768818 | Elisa Semedo | Physical Therapist | 285 Promenade Street, Providence, RI 02908 | 2011-06-27 |
| 1255655502 | Caregiver Homes of Rhode Island Inc. | Custodial Care Facility | 235 Promenade Street, Providence, RI 02908 | 2010-03-16 |
| 1487884987 | Professional Ambulance LLC | Ambulance | 52 River Ave, Providence, RI 02908 | 2009-07-17 |
| 1609065804 | Stephen W Davis | Family Medicine | 299 Promenade Street, Nhpri, Providence, RI 02908 | 2007-10-24 |
| 1205053899 | John R Ricci | Dentist | 1252 Smith St, Providence, RI 02908 | 2007-04-18 |
| 1871718718 | Brett C Auclaire | Nurse Practitioner | 40 Candace Street, Providence, RI 02908 | 2007-04-16 |
| Find all providers in zip 02908 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164847380 | Cheryl Mandel | Specialist | 127 Irving Ave Apt 3, Providence, RI 02906-4544 | 2014-02-25 |
| 1962719773 | Megan Elizabeth Gillard | Specialist | 1000 Eddy Sttreet, Providence, RI 02905 | 2010-09-01 |
| 1053642611 | Robert Patrick Bowe | Specialist | 420 Angell St, Providence, RI 02906-4444 | 2010-01-21 |
| 1972832814 | Deborah A. Newell | Specialist | 10000 Eddy Street, Providence, RI 02905 | 2009-12-23 |
| 1669529004 | Jack Morton Monchik | Specialist | 154 Waterman Street, Providence, RI 02906-5713 | 2007-01-05 |
| 1588679385 | Lifespan/physicians Pso Billing Services | Specialist | 167 Point St, Coro 3a, Providence, RI 02903-4771 | 2006-07-30 |
| 1821020231 | Fernanda Goncalves | Specialist | 1000 Eddy Str., Providence, RI 02905 | 2006-07-07 |
| 1437123403 | Rebecca Mary Brown | Specialist | 700 Smith St, Providence, RI 02908 | 2006-02-15 |
| 1861486664 | Martin R Papazian | Specialist | 148 W River St, Suite 2a, Providence, RI 02904-2615 | 2005-09-07 |
| 1558364604 | Marc S Weinberg | Specialist | 1 Randall Sq Ste 304, Providence, RI 02904-2773 | 2005-05-23 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02908 |
Please comment or provide details below to improve the information on ROGER WILLIAMS HOSPITAL.
| 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.