ERIC BOETTJER


Address: 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785
Phone: 4014322520

ERIC BOETTJER (NPI# 1306390869) 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) 1306390869
Entity Type Individual
Full Name ERIC BOETTJER
Credential PA-C
Practice Address 125 Metro Center Blvd Ste 2000
Warwick
RI 02886-1785
Mailing Address 111 Brewster St
Pawtucket
RI 02860-4474
Practice Telephone 4014322520
Practice Fax Number 4019219212
Enumeration Date 2016-08-12
Last Update Date 2020-09-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant PA7762 MA Physician Assistants & Advanced Practice Nursing Providers
Y 363A00000X Physician Assistant PA00889 RI Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
111 Brewster St, Pawtucket, RI 028604474 4017292000
211 Park St, Attleboro, MA 027033137 5082225200
125 Metro Center Blvd Ste 2000, Warwick, RI 028861785 4014322520 4019219212

Office Location

Street Address 125 METRO CENTER BLVD STE 2000
City WARWICK
State RI
Zip Code 02886-1785

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356344089 Vincent A Decesaris Radiology 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 2005-05-27
1104386895 Vincent Alexandre Physician Assistant 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 2019-03-20
1639625288 Whitney Kristina Vayntrub Physician Assistant 125 Metro Center Blvd Ste 2000, Warwick, RI 02886 2016-09-01
1275949414 Monica L Roca Radiology 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 2014-07-09
1962746552 Jose Graterol Radiology Practitioner Assistant 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 2012-11-20
1699034710 Z Liu Internal Medicine 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1768 2012-05-09
1235404146 Janelle Bosse Physician Assistant 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 2012-03-12
1174818603 Elizabeth H Dibble Radiology 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 2011-06-13
1093021966 Gaurav Jindal Radiology 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 2010-08-29
1225358047 Michael Furman Radiology 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 2010-06-03
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Providers in the same zip code

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 Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619591070 Alexandra L Conrad Physician Assistant 48 Gaspee Point Dr, Warwick, RI 02888-4918 2020-06-02
1104318427 Nicholas Ivar Cookson Physician Assistant 127 Prospect St, Warwick, RI 02886-7138 2018-06-01
1689191553 Mary Catherine Maher Physician Assistant 535 Centerville Rd Ste 102, Warwick, RI 02886-4376 2017-08-23
1881001386 Alexa Marie Joanow Physician Assistant 40 Horizon Farms Dr, Warwick, NY 10990-2260 2014-07-16
1134106750 Martina Marie Schulz Physician Assistant 176 Tollgate Rd, Warwick Psych Center, Warwick, RI 02886 2005-12-23
1053319038 Michelle L. Tautkus Physician Assistant 475 Kilvert Street, Suite 310, Warwick, RI 02886 2005-07-13
1003813866 Michael John Cobb Physician Assistant 962 Warwick Ave, Warwick, RI 02888-3650 2005-07-07
1326662362 Melissa Nicole Martino Physician Assistant 857 Post Rd, Warwick, RI 02888-3360 2020-06-05
1093354573 Keith Bentley Physician Assistant 962 Warwick Ave, Warwick, RI 02888-3650 2019-12-31
1083265003 Kayla Resch Physician Assistant 535 Centerville Rd, Warwick, RI 02886-4486 2019-09-20
Find all providers in WARWICK

Competitor

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City WARWICK
Zip Code 02886

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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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