EAST BAY ENDOSCOPY CENTER LLC (NPI# 1235348335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235348335 |
| Entity Type | Organization |
| Organization Name | EAST BAY ENDOSCOPY CENTER LLC |
| Practice Address |
109 Clock Tower Square Portsmouth RI 02871 |
| Mailing Address |
33 Staniford St Providence RI 02905-3105 |
| Practice Telephone | 4014218800 |
| Practice Fax Number | 4012784070 |
| Mailing Telephone | 4014218800 |
| Mailing Fax Number | 4012784070 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | THOMAS SEPE (MEMBER) |
| Authorized Official Telephone | 4014218800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
Ambulatory Health Care Facilities |
| Street Address |
109 CLOCK TOWER SQUARE |
| City | PORTSMOUTH |
| State | RI |
| Zip Code | 02871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487028783 | Jocelyn Arruda | Marriage & Family Therapist | 275 Mccorrie Lane, Portsmouth, RI 02871 | 2015-11-24 |
| 1841587417 | Visiting Nurse Services of Newport and Bristol Counties | Clinic/Center | 1184 East Main Road, Portsmouth, RI 02871 | 2011-07-05 |
| 1831483148 | James Patrick Nolan | Pathology | 150 Carnegie Harbor Drive, Portsmouth, RI 02871 | 2011-06-03 |
| 1720378623 | Thomas Francis Reitano | Pharmacist | 3034 East Main Rd, Portsmouth, RI 02871 | 2011-04-12 |
| 1063716793 | Amber Kaltenstein | Psychologist | 2820 E Main Rd, Portsmouth, RI 02871 | 2011-01-10 |
| 1760660773 | Susan Mandrachia Killebrew | Social Worker | 107 Clock Tower Square, Portsmouth, RI 02871 | 2008-02-01 |
| 1346369147 | Todd Matthew Carbone | Physical Therapy Assistant | 459 Wapping Rd, Portsmouth, RI 02871 | 2007-03-29 |
| 1952436032 | Newport County Regional Special Education | Local Education Agency (LEA) | Elmhurst School, 1 Frank Coelho Drive, Portsmouth, RI 02871 | 2007-02-22 |
| 1437292760 | Aquidneck Dental, Inc. | Dentist | 21 King Charles Drive, Portsmouth, RI 02871 | 2007-02-15 |
| 1235276395 | Christine Miller Bandoni | Social Worker | 10 King Charles Dr., Bldg. 100 Suite 107, Portsmouth, RI 02871 | 2007-01-30 |
| Find all providers in zip 02871 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720085657 | Bayside Endoscopy Center, LLC | Clinic/Center | 33 Staniford St, Providence, RI 02905-3105 | 2005-07-07 |
| 1184713919 | Bayside Endoscopy Center, LLC | Clinic/Center | 148 W River St, Suite 3, Providence, RI 02904-2615 | 2006-10-12 |
| 1265484810 | Endoscopy Associates, Inc. | Clinic/Center | 44 W River St, First Floor, Providence, RI 02904-2609 | 2006-05-16 |
| City | PORTSMOUTH |
| Zip Code | 02871 |
Please comment or provide details below to improve the information on EAST BAY ENDOSCOPY CENTER LLC.
| 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.