ANTONIO BARAJAS (NPI# 1285714501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285714501 |
| Entity Type | Individual |
| Full Name | ANTONIO BARAJAS |
| Credential | MD |
| Practice Address |
830 Chalkstone Ave Providence RI 02908-4734 |
| Mailing Address |
670 Broad St Central Falls RI 02863-2312 |
| Practice Telephone | 4014562121 |
| Mailing Telephone | 4012589278 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2018-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 08971 | RI | Allopathic & Osteopathic Physicians |
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
08971 | RI | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 08971 | RI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538122353 | Antonio Barajas | Family Medicine | 4151 N Lincoln Ave, Chicago, IL 60618-3062 | 2006-04-11 |
| Street Address |
830 CHALKSTONE AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02908-4734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174510853 | Frances Ann Bettencourt | Nurse Practitioner | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2005-09-29 |
| 1881295277 | Johnna Bussiere | Nurse's Aide | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-11-03 |
| 1770196578 | Caroline Sophie Holman | Psychologist | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-08-31 |
| 1104437458 | Vivian Vang | Registered Nurse | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-08-11 |
| 1841800604 | Wilcania Baez | Social Worker | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-08-06 |
| 1609484757 | Stephen Soonbeom Kwon | Student in an Organized Health Care Education/Training Program | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-07-15 |
| 1972111029 | Keenan Sandouk | Student in an Organized Health Care Education/Training Program | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-07-15 |
| 1952919011 | Yumna Arif | Student in an Organized Health Care Education/Training Program | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-07-15 |
| 1760009518 | Hassan Saada | Nurse Practitioner | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-06-28 |
| 1952927675 | Susannah Kondrath | Psychologist | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-06-18 |
| 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 | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497716054 | Alexandra Nicole Thran | Emergency Medicine | 561 Seaside Dr, Jamestown, RI 02835-2357 | 2006-03-31 |
| 1174985824 | Chelsea Laber | Emergency Medicine | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2016-03-22 |
| 1639537335 | Emergency Care Services of New England PC | Emergency Medicine | 200 High Service Ave, Er, North Providence, RI 02904-5113 | 2016-02-09 |
| 1821434580 | Emergency Medicine Physicians of Washington County, LLC | Emergency Medicine | 25 Wells St, Westerly, RI 02891-2922 | 2013-05-21 |
| 1578608667 | Bradley D Heermann | Emergency Medicine | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2007-02-20 |
| 1588746267 | Dominador Q Falguera | Emergency Medicine | 1150 Reservoir Ave, Cranston, RI 02920-6068 | 2006-10-20 |
| 1710069414 | Dennis J Romano | Emergency Medicine | 1150 Reservoir Ave, Cranston, RI 02920-6068 | 2006-10-20 |
| 1508948332 | William T Creighton | Emergency Medicine | 1150 Reservoir Ave, Cranston, RI 02920-6068 | 2006-10-20 |
| 1073695797 | Joseph N Deruosi | Emergency Medicine | 1150 Reservoir Ave, Cranston, RI 02920-6068 | 2006-10-20 |
| 1982713020 | Edward L Cullen | Emergency Medicine | 1150 Reservoir Ave, #100, Cranston, RI 02920-6068 | 2006-08-30 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 02908 |
Please comment or provide details below to improve the information on ANTONIO BARAJAS.
| 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.