CONCENTRA PRIMARY CARE PA (NPI# 1255606844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255606844 |
| Entity Type | Organization |
| Organization Name | CONCENTRA PRIMARY CARE PA |
| Other Organization Name | CONCENTRA PRIMARY CARE |
| Practice Address |
400 Bald Hill Rd Suite 511 Warwick RI 02886-1617 |
| Mailing Address |
5080 Spectrum Drive Suite 1200 West Addison TX 75001-4648 |
| Practice Telephone | 4017388100 |
| Practice Fax Number | 4017322763 |
| Mailing Telephone | 9723648083 |
| Mailing Fax Number | 2147754502 |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2016-02-09 |
| Authorized Official Name | DR. ROBERT HASSETT (PRESIDENT) |
| Authorized Official Telephone | 9723648000 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Concentra Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174873905 | Concentra Primary Care Pa | Clinic/Center | 220 West Goodwin, Pleasanton, TX 78064-4115 | 2012-09-19 |
| 1265782098 | Concentra Primary Care Pa | Clinic/Center | 260 Us Hwy 181 N, Floresville, TX 78114-3136 | 2012-09-19 |
| 1164772992 | Concentra Primary Care Pa | Clinic/Center | 4360 Greco Drive, San Antonio, TX 78222-2725 | 2012-09-19 |
| 1336499177 | Concentra Primary Care Pa | Clinic/Center | 12413 Judson Road, Live Oak, TX 75233-3202 | 2012-09-19 |
| 1427308253 | Concentra Primary Care Pa | Clinic/Center | 1354 East Walnut St, Seguin, TX 78155-5126 | 2012-09-19 |
| 1457601288 | Concentra Primary Care Pa | Clinic/Center | 1860 South Seguin Avenue, New Braunfels, TX 78130-3914 | 2012-09-19 |
| 1548517600 | Concentra Primary Care Pa | Family Medicine | 1502 Oxford Drive, Georgetown, KY 40324-8094 | 2012-08-08 |
| 1457608515 | Concentra Primary Care Pa | Family Medicine | 3174 Custer Drive, Suite 100, Lexington, KY 40517-4000 | 2012-08-08 |
| 1437432689 | Concentra Primary Care Pa | Clinic/Center | 2140 Mendon Road, Suite 101a, Cumberland, RI 02864 | 2011-09-23 |
| 1962783654 | Concentra Primary Care Pa | Clinic/Center | 1220 Caroline Street, Suite A230, Atlanta, GA 30307 | 2011-09-08 |
| Street Address |
400 BALD HILL RD SUITE 511 |
| City | WARWICK |
| State | RI |
| Zip Code | 02886-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093711830 | David Robert Katzen | Allergy & Immunology | 400 Bald Hill Rd, Ste 527, Warwick, RI 02886-6100 | 2005-06-27 |
| 1497363105 | Miranda Icart | Psychologist | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2020-07-20 |
| 1821652215 | Leah Dillon | Physical Therapy Assistant | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2019-05-01 |
| 1457827727 | Iblin Penagos-chinchilla | Counselor | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2018-10-15 |
| 1164905329 | Kathleen Bacon | Physical Therapist | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2018-09-12 |
| 1437631686 | Kyla Kennedy | Student in an Organized Health Care Education/Training Program | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2018-09-04 |
| 1275049280 | Elizabeth Clark Dwyer | Counselor | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2017-12-28 |
| 1174051742 | Juliette Ariel Holtzman | Counselor | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2017-05-26 |
| 1093242679 | Dionna Lang | Counselor | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2017-05-15 |
| 1871025296 | Katelin Marie Whipple | Counselor | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2017-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694445 | Sheri Lynn Sklarz | Specialist | 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 | 2020-03-23 |
| 1316581424 | Dr. Degiulio & Associates Inc | Optometrist | 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 | 2019-10-31 |
| 1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
| 1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1538687520 | David A. Bennett | Registered Nurse | 2756 Post Road, Warwick, RI 02886 | 2017-08-30 |
| 1427585223 | Brittany Teixeira | Counselor | 85 Earl Street, Warwick, RI 02886 | 2017-05-11 |
| 1497125199 | Aiden Philip Cwynar | Optometrist | 1050 Centerville Road, Warwick, RI 02886 | 2015-10-07 |
| 1104221738 | Wilfredo L Sancianco Dmd Inc | Preferred Provider Organization | 3411 W Shiore Rd, Warwick, RI 02886 | 2014-10-24 |
| 1831508662 | Matthew Bryant Mitchell | Physical Therapist | 400 Bald Hill Rd #511, Warwick, RI 02886 | 2014-08-06 |
| Find all providers in zip 02886 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063984813 | Osh - Ri Physicians Group, PC | Clinic/Center | 300 Quaker Ln # C2-4, Warwick, RI 02886-0159 | 2018-12-18 |
| 1053677229 | Ralph J Alvarez, Md, Pllc | Clinic/Center | 9 Grand St, Warwick, NY 10990-1007 | 2012-04-02 |
| 1548538473 | Primary Care Partners | Clinic/Center | 2756 Post Rd, Warwick, RI 02886-3003 | 2011-12-07 |
| 1235314691 | Usha Stokoe Md Inc | Clinic/Center | 200 Toll Gate Rd, # 204, Warwick, RI 02886-4440 | 2008-01-04 |
| 1558556266 | Keith L. Callahan M.d., P.C. | Clinic/Center | 390 Toll Gate Rd, Suite 108, Warwick, RI 02886-4326 | 2007-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700420106 | Alexa S Gladstone | Clinic/Center | 333 School St # 112, Pawtucket, RI 02860-5334 | 2019-10-30 |
| 1437432689 | Concentra Primary Care Pa | Clinic/Center | 2140 Mendon Road, Suite 101a, Cumberland, RI 02864 | 2011-09-23 |
| 1568667848 | Wellnorth Medical LLC | Clinic/Center | 1630 Mineral Spring Ave, 2, North Providence, RI 02904-4025 | 2007-06-18 |
| 1235275207 | Summit Medical Group | Clinic/Center | 100 Highland Ave Ste 307, Providence, RI 02906-2753 | 2007-01-29 |
| 1174141345 | Stillwater Primary Care Ltd | Clinic/Center | 712 Putnam Pike Unit 2, Chepachet, RI 02814-1404 | 2020-07-14 |
| 1356965859 | Berghelli Internal Medicine, LLC | Clinic/Center | 2358 S County Trl, East Greenwich, RI 02818-1583 | 2020-06-01 |
| 1407222789 | Direct Doctors, Inc. | Clinic/Center | 320 Phillips St Ste 203, North Kingstown, RI 02852-5149 | 2015-08-20 |
| 1386041507 | Family Doctor Plus Ri LLC | Clinic/Center | 553 Kingstown Rd, Wakefield, RI 02879-3600 | 2014-12-03 |
| 1023395340 | Concentra Primary Care Pa | Clinic/Center | 290 Branch Ave, Providence, RI 02904-2713 | 2011-11-15 |
| 1174806327 | Concentra Primary Care Pa | Clinic/Center | 400 Putnam Pike, Suite E, Smithfield, RI 02917 | 2011-09-23 |
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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.