DR. MICHAEL E JAY (NPI# 1295725042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295725042 |
Entity Type | Individual |
Full Name | DR. MICHAEL E JAY |
Credential | M.D. |
Practice Address |
111 Brewster Street Pawtucket RI 02860-4474 |
Mailing Address |
111 Brewster Street Wood Bldg #516 Pawtucket RI 02860-4474 |
Practice Telephone | 4017292339 |
Mailing Telephone | 4017293481 |
Mailing Fax Number | 4017292721 |
Enumeration Date | 2005-10-24 |
Last Update Date | 2011-09-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD12306 | RI | Allopathic & Osteopathic Physicians |
N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
49166 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | HCVM FIRST HEALTH | 04-3140277 | 01 |
MA | RAILROAD MEDICARE | 30013557 | 01 |
MA | 0188433 | 05 | |
MA | HEALTH NET | 000000028363 | 01 |
MA | CIGNA MA | 4642867002 | 01 |
MA | BCBS RI | J25694 | 01 |
MA | HARVARD PILGRIM | 344539 | 01 |
MA | BLUE CHIP R | 410511 | 01 |
MA | TRICARE | 04-3140277 | 01 |
MA | BMA | J25694 | 01 |
MA | TUFTS HEALTH PLAN | 049166 | 01 |
MA | UNITED HEALTHCARE MA | 16-00012 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528274347 | Michael Jay | Pharmacist | Ast A262, University of Kentucky, Lexington, KY 40536-0001 | 2007-05-16 |
1598079642 | Michael Eugene Jay | Social Worker | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2010-07-31 |
1154575777 | Michael D Jay | Family Medicine | 3377 Riverbend Dr, Springfield, OR 97477-8803 | 2008-11-10 |
1801003462 | Michael R Jay | Social Worker | 421 W Exchange St, Freeport, IL 61032-4030 | 2007-05-16 |
1346209624 | Michael C Jay | Radiology | 1500 Lansdowne Ave, Darby, PA 19023 | 2006-03-23 |
Street Address |
111 BREWSTER STREET |
City | PAWTUCKET |
State | RI |
Zip Code | 02860-4474 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407854797 | Alice Yang-hee Kim | Internal Medicine | 111 Brewster Street, Pawtucket, RI 02860-4400 | 2005-07-11 |
1063939007 | Abraham Walusimbi | Internal Medicine | 111 Brewster Street, Pawtucket, RI 02860 | 2017-08-29 |
1265952576 | Ali Alkhayat | Internal Medicine | 111 Brewster Street, Pawtucket, RI 02860 | 2017-06-27 |
1740700780 | Melissa Ochoa-trochez | Family Medicine | 111 Brewster Street, Fcc B, Pawtucket, RI 02860 | 2017-06-21 |
1063883270 | Jennifer Derossi-dacosta | Registered Nurse | 111 Brewster Street, Cnemg Primary Care and Specialty Services, Pawtucket, RI 02860-4474 | 2015-10-14 |
1528368354 | Bethany S Snow | Physician Assistant | 111 Brewster Street, Pawtucket, RI 02860-4400 | 2010-10-27 |
1720260805 | Laura Lynnette Frakey | Clinical Neuropsychologist | 111 Brewster Street, Pawtucket, RI 02860-4400 | 2007-11-30 |
1740483742 | Linda Coren Hanley | Pathology | 111 Brewster Street, Department of Pathology, Pawtucket, RI 02860-4400 | 2007-06-07 |
1518176874 | Memorial Hospital | Family Medicine | 111 Brewster Street, Pawtucket, RI 02860 | 2007-05-22 |
1396954640 | Memorial Hospital | Family Medicine | 111 Brewster Street, Memorial Hospital of Rhode Island, Pawtucket, RI 02860 | 2007-05-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
Find all providers in zip 02860 |
Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851900286 | Silver Spring Health Care Management, Inc | Radiology | 100 Kenyon Ave, Wakefield, RI 02879-4216 | 2020-07-31 |
1134742588 | Sean O'neill | Radiology | 593 Eddy St, Providence, RI 02903-4923 | 2020-05-20 |
1497318620 | Jessica Yoon | Radiology | 593 Eddy St, Providence, RI 02903-4923 | 2019-04-14 |
1346733102 | Adam Charles Tuomi | Radiology | 593 Eddy St, Providence, RI 02903-4923 | 2018-06-07 |
1568880029 | Rylee Olewinski | Radiology | 593 Eddy St, Providence, RI 02903-4923 | 2014-04-02 |
1922121185 | Providence Interventional Associates, LLC | Radiology | 100 Highland Ave, Providence, RI 02906-2740 | 2007-04-10 |
1407928179 | Endovascular & Interventional Associates Inc | Radiology | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2006-11-15 |
1205874930 | Rhode Island Medical Imaging | Radiology | 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 | 2006-06-03 |
1285617845 | Brian F Stainken | Radiology | 825 Chalkstone Ave, Roger Williams Medical Center - Imaging Network of Ri, Providence, RI 02908-4728 | 2005-11-28 |
1427055987 | Landy Peter Paolella | Radiology | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2005-06-30 |
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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.