RHODE ISLAND DERMATOLOGY OBS (NPI# 1235202201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235202201 |
| Entity Type | Organization |
| Organization Name | RHODE ISLAND DERMATOLOGY OBS |
| Practice Address |
3 Wake Robin Rd Unit 5 Lincoln RI 02865-4208 |
| Practice Telephone | 4014759140 |
| Practice Fax Number | 4014759143 |
| Mailing Telephone | 4014759140 |
| Mailing Fax Number | 4014759143 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SUSAN SCHUMACHER (BILLING MANAGER) |
| Authorized Official Telephone | 4014759140 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
========= | RI | Ambulatory Health Care Facilities |
| Street Address |
3 WAKE ROBIN RD UNIT 5 |
| City | LINCOLN |
| State | RI |
| Zip Code | 02865-4208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073530861 | Stephanie M Maclary | Physician Assistant | 3 Wake Robin Rd, Lincoln, RI 02865-4294 | 2006-07-16 |
| 1679838387 | Stephen Cullen | Physician Assistant | 3 Wake Robin Rd, Unit 5, Lincoln, RI 02865-4294 | 2012-07-09 |
| 1417241555 | United Specialists Pathology Laboratory Inc | Clinical Medical Laboratory | 3 Wake Robin Rd, Unit 3b, Lincoln, RI 02865-4208 | 2011-06-07 |
| 1972676021 | Rhode Island Dermatology & Cosmetic Center LLC | Specialist | 3 Wake Robin Rd, Unit 5, Lincoln, RI 02865-4208 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346749868 | Ckri Incorporated | In Home Supportive Care | 1525 Old Louisquissett Pike, C201, Lincoln, RI 02865 | 2018-02-10 |
| 1053824805 | Daniel Boulanger | Specialist/Technologist | 1762 Louisquisset Pike, Lincoln, RI 02865 | 2017-11-14 |
| 1013449677 | Daniel Gardner | Physical Therapist | 618 George Washington Hwy, Lincoln, RI 02865 | 2017-03-31 |
| 1801335138 | Lucille Ellen Plasse | Registered Nurse | 19 Old Great Road, Lincoln, RI 02865 | 2017-02-20 |
| 1558752014 | Northern Rhode Island Cognitive Behavioral Therapy Inc | Social Worker | 640 George Washington Hwy Ste 103, Lincoln, RI 02865 | 2015-02-05 |
| 1528313004 | Sandra Faria | Counselor | 1525 Old Louisquisset Pike Ste B104, Lincoln, RI 02865 | 2012-07-19 |
| 1982832671 | Deborah F Katcher-buckley | Nurse Practitioner | 2 Wake Robin Rd Unit 201, Lincoln, RI 02865 | 2009-07-01 |
| 1558541011 | Dawn Marie Maguire | Social Worker | 640 George Washington Hwy Ste, Bdg B, Ste 103, Lincoln, RI 02865 | 2007-11-13 |
| 1477675262 | Rhode Island Hospital | Internal Medicine | 701 George Washington Hwy Ste 100, Lincoln, RI 02865 | 2007-04-04 |
| 1083789218 | Thomas Patrick Hines | Pediatrics | 6 Blackstone Valley Place Suite 306b, Lincoln, RI 02865 | 2006-11-22 |
| Find all providers in zip 02865 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609343052 | Advanced Medical Imaging Surgery Center, LLC | Clinic/Center | 7555 Pioneers Blvd, Lincoln, NE 68506 | 2018-10-24 |
| 1588119283 | Doctors Outpatient Surgery Center | Clinic/Center | 5055 A St, Suite 100, Lincoln, NE 68506 | 2016-08-23 |
| 1699718437 | Nebraska Heart Hospital | Clinic/Center | 7500 So. 91st St., Lincoln, NE 68526-9772 | 2006-06-13 |
| 1467490433 | Urology Surgical Center LLC | Clinic/Center | 5500 Pine Lake Rd, Lincoln, NE 68516-3389 | 2006-06-03 |
| 1215904131 | Nebraska Surgery Center LLC | Clinic/Center | 625 S 70th St, Lincoln, NE 68510-2404 | 2006-03-01 |
| 1184699878 | Loc Surgery Center Inc | Clinic/Center | 6900 A St Ste 200, Lincoln, NE 68510-4120 | 2006-02-17 |
| 1255809620 | Prairie Orthopaedic & Plastic Surgery, P.C. | Clinic/Center | 4130 Pioneer Woods Dr Ste 1, Lincoln, NE 68506-7552 | 2018-11-05 |
| 1548710775 | Lincoln Digestive Health Center LLC | Clinic/Center | 2300 S 16th St, Suite 512, Lincoln, NE 68502-3704 | 2016-10-12 |
| 1053565259 | Southwest Lincoln Surgery Center, LLC | Clinic/Center | 2222 S 16th St, Suite 315, Lincoln, NE 68502-3796 | 2008-11-14 |
| 1891875175 | Head and Neck Surgical Partners LLC | Clinic/Center | 1500 S 48th St, Ste 201, Lincoln, NE 68506-1277 | 2006-10-17 |
| Find all providers in LINCOLN | ||||
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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.