ST. JOSEPH HEALTH SERVICES OF RI, (NPI# 1225184617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225184617 |
| Entity Type | Organization |
| Organization Name | ST. JOSEPH HEALTH SERVICES OF RI, |
| Other Organization Name | ST. JOSEPH HOSP. FOR SPECIALTY CARE-PEDIATRIC CLINIC |
| Practice Address |
21 Peace St Providence RI 02907-1510 |
| Mailing Address |
200 High Service Ave North Providence RI 02904-5113 |
| Practice Telephone | 4014564300 |
| Practice Fax Number | 4014564050 |
| Mailing Telephone | 4014563000 |
| Mailing Fax Number | 4014563762 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2014-02-14 |
| NPI Deactivation Date | 09/19/2007 |
| NPI Reactivation Date | 2014-02-14 |
| Authorized Official Name | JOHN KEIMIG III (PRESIDENT) |
| Authorized Official Telephone | 4014563000 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST JOSEPHS HEALTH SERVICES OF RI |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | HOS00110 | RI | Hospitals |
| Other Name | Type Code |
|---|---|
| ST. JOSEPH HOSP. FOR SPECIALTY CARE-PEDIATRIC CLINIC | Doing Business As Name - Organization |
| Street Address |
21 PEACE ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02907-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033103098 | Stanley John Stutz Jr. | Orthopaedic Surgery | 21 Peace St, Corporate Care, Providence, RI 02907-1510 | 2005-09-07 |
| 1083249098 | Anna Lam | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2020-03-10 |
| 1447884861 | Adam Takeo Ellenthal | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2020-02-25 |
| 1275166050 | Christopher Padhi | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2020-02-19 |
| 1770040412 | Tyler Anthony Beninati | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2019-03-01 |
| 1972060606 | Gabrielle Morgan Lieberman | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2019-02-28 |
| 1962969691 | John Anthony Power IIi | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2019-02-28 |
| 1386101541 | Victoria Anne Gill | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2019-02-25 |
| 1740772037 | Tiffany Diem Tu Ngo | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2018-06-01 |
| 1841794500 | Amrita Khemka | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2018-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518522861 | Catherine M Katzberg | Massage Therapist | Santosha Yoga Studio, 275 Reservoir Ave, Providence, RI 02907 | 2019-05-02 |
| 1104317007 | Victa LLC | Internal Medicine | 110 Elmwood Ave # A, Providence, RI 02907 | 2018-05-25 |
| 1639566987 | Southside Elementary Charter School | Local Education Agency (LEA) | 126 Somerset Street, Providence, RI 02907 | 2015-04-23 |
| 1063846558 | Achievement First Providence Mayoral Academy Charter School | Local Education Agency (LEA) | 370 Hartford Aveneue, Providence, RI 02907 | 2013-09-03 |
| 1912297425 | Reynaldo P Baduya Sr.,dmd | Clinic/Center | 252 Adelaide Avenue, Providence, RI 02907 | 2011-04-18 |
| 1821218587 | Map Behavioral Health Serv. Inc. | Community/Behavioral Health | 66 Burnett Street, Providence, RI 02907 | 2007-04-26 |
| 1548336944 | Angelica Redleaf | Chiropractor | 1196 Elmwood Avenue, Providence, RI 02907 | 2006-11-28 |
| 1174619878 | Emilio Rodriguez-peris | Internal Medicine | 655 Broad Street, Suite 201, Providence, RI 02907 | 2006-10-04 |
| 1841381555 | Maged Taman | Internal Medicine | 21 Peace Street, Providence, RI 02907 | 2006-09-27 |
| 1003924226 | Gladys V Rezendes | Psychologist | 118 Comstock Avenue, Providence, RI 02907 | 2006-08-28 |
| Find all providers in zip 02907 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609953397 | Rhode Island Hospital | General Acute Care Hospital | 1 Hoppin St Ste 200, Providence, RI 02903-4132 | 2006-11-01 |
| 1104233832 | Rhode Island Hospital | General Acute Care Hospital | 593 Eddy St, Children's Neurodevelopment Center, Providence, RI 02903-4923 | 2014-07-15 |
| 1013332014 | Prospect Chartercare Rwmc, LLC | General Acute Care Hospital | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2014-02-27 |
| 1740615277 | The Miriam Hospital | General Acute Care Hospital | 164 Summit Ave, Providence, RI 02906-2853 | 2013-09-03 |
| 1063853661 | Roger Williams Medical Center | General Acute Care Hospital | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2013-07-11 |
| 1003103391 | Rhode Island Hospital | General Acute Care Hospital | 593 Eddy St, Main 4, Providence, RI 02903 | 2011-07-07 |
| 1023325800 | Rhode Island Hospital | General Acute Care Hospital | 17 Seekonk St, Providence, RI 02906-5125 | 2010-09-01 |
| 1366674509 | Anita Susan Kestin | General Acute Care Hospital | 167 Point St, Suite 213, Providence, RI 02903-4771 | 2009-08-21 |
| 1629218094 | Women and Infants Hospital | General Acute Care Hospital | 101 Dudley St, Providence, RI 02905-2401 | 2009-02-25 |
| 1548289036 | Va Medical Center | General Acute Care Hospital | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2006-07-18 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02907 |
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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.