DR. MICHAEL E JAY


Address: 111 Brewster Street, Pawtucket, RI 02860-4474
Phone: 4017292339

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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

Other Providers MICHAEL JAY

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

Office Location

Street Address 111 BREWSTER STREET
City PAWTUCKET
State RI
Zip Code 02860-4474

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and state

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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Competitor

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City PAWTUCKET
Zip Code 02860

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Dataset Information

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.

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