VIREN ANDREW D'SA


Address: 555 Prospect St, Pawtucket, RI 02860-6200
Phone: 4017296200

VIREN ANDREW D'SA (NPI# 1326243866) 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) 1326243866
Entity Type Individual
Full Name VIREN ANDREW D'SA
Credential M.D.
Practice Address 555 Prospect St
Pawtucket
RI 02860-6200
Mailing Address 111 Brewster St
Wood 516
Pawtucket
RI 02860-4400
Practice Telephone 4017296200
Practice Fax Number 4017296203
Mailing Telephone 4017292250
Mailing Fax Number 4017292721
Enumeration Date 2007-06-15
Last Update Date 2010-05-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics MD12388 RI Allopathic & Osteopathic Physicians
Y 2080P0006X Pediatrics
Specialization: Developmental – Behavioral Pediatrics
MD12388 RI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RI MEDICARE PTAN 007059581 01
RI VD68530 05

Office Location

Street Address 555 PROSPECT ST
City PAWTUCKET
State RI
Zip Code 02860-6200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497739304 Louise S. Kiessling Pediatrics 555 Prospect St, Department of Neurodevelopmental, Pawtucket, RI 02860-6200 2005-12-05
1124437264 Meredith Amaya-hodges Clinical Neuropsychologist 555 Prospect St, Pawtucket, RI 02860-6200 2014-08-02
1245477785 Sherri Lynn Provencal Clinical Neuropsychologist 555 Prospect St, Pawtucket, RI 02860-6200 2009-01-20
1538113113 Rhode Island Pet Services, LLC Clinic/Center 555 Prospect St, Pawtucket, RI 02860-6200 2006-05-19

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 2080P0006X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Developmental – Behavioral Pediatrics

Taxonomy Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598922809 Carol L Baum-gupta Pediatrics 555 Prospect Street, Pawtucket, RI 02860 2008-05-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972726495 Mark Maddox O'brien Pediatrics 6 Harrington Rd, Cranston, RI 02920-3080 2007-04-11
1235439639 Governor Diagnostic and Treatment Center Pediatrics 293 Governor St, Providence, RI 02906-3220 2010-11-01
1033370606 Chase B Samsel Pediatrics 593 Eddy St, Providence, RI 02903-4923 2008-06-17
1063683407 Pei-chi Wu Pediatrics 593 Eddy St, Providence, RI 02903-4923 2008-03-13
1235315284 Sunshine Pediatrics LLC Pediatrics 1 Randall Sq, Suite 404-406, Providence, RI 02904-2709 2008-01-20
1639210628 Catherine Labiak-maher Pediatrics 625 Main Rd, Tiverton, RI 02878-1351 2007-02-11
1568545630 Carrie L Kelly Pediatrics 593 Eddy St, Providence, RI 02903-4923 2006-10-23
1417050055 Daniel Toby Marwil Pediatrics 293 Governor St, Providence, RI 02906 2006-09-07
1679597637 Ayesha Cheema Pediatrics 593 Eddy St, Providence, RI 02903-4923 2006-07-26
1861420333 Rhode Island Hospital Pediatrics 593 Eddy St, Providence, RI 02903-4923 2006-06-30
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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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