KIMBERLY A DODD


Address: 150 Chestnut St Ste 4, Providence, RI 02903-4649
Phone: 8332290957

KIMBERLY A DODD (NPI# 1366646820) 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) 1366646820
Entity Type Individual
Full Name KIMBERLY A DODD
Credential M.D.
Practice Address 150 Chestnut St Ste 4
Providence
RI 02903-4649
Mailing Address 111 Brewster Street
Pawtucket
RI 02860-4400
Practice Telephone 8332290957
Mailing Telephone 4017293469
Mailing Fax Number 4017292541
Enumeration Date 2007-06-11
Last Update Date 2020-04-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
MD13173 RI Allopathic & Osteopathic Physicians
N 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
232516 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RI MEDICARE PTAN 000137802 01
RI KD79114 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
111 Brewster Street, Pawtucket, RI 028604400 4017293469 4017292541
10 Dorrance St Ste 700, Providence, RI 029032014 8332290957

Other Providers KIMBERLY DODD

NPI Name Taxonomy Address Enumeration
1427578947 Kimberly Michelle Dodd Nurse Practitioner 1110 Lakeview Dr, Sugar Land, TX 77478-3378 2017-06-26
1114467644 Kimberly Dodd Nurse Practitioner 5019 Portico Way, Midland, TX 79707-3102 2017-03-02
1831440171 Kimberly Ann Dodd Marriage & Family Therapist 12657 Adams Rd, Granger, IN 46530-9641 2012-09-26
1295044014 Kimberly Anne Dodd Occupational Therapist 210 4th Ave, Grinnell, IA 50112-1898 2010-09-28

Office Location

Street Address 150 CHESTNUT ST STE 4
City PROVIDENCE
State RI
Zip Code 02903-4649

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475755 Sarah Fellows Student in an Organized Health Care Education/Training Program 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 2020-10-20
1093328262 Esther Robbins Social Worker 290 West Exchange St., Suite 100, Providence, RI 02903 2020-08-27
1720619489 Ivy Marie Mcdonald Behavioral Analyst 290 W Exchange St #101, Providence, RI 02903 2020-01-31
1447802707 Natalie Monaghan, LLC Social Worker 545 South Water Street, Providence, RI 02903 2019-07-16
1760049522 Daniel Steven Alanko Pediatrics 293 Eddy Street, Providence, RI 02903 2019-05-28
1154894368 Margaret Emily Dyson Behavior Technician 290 W. Exchange St, Providence, RI 02903 2019-01-10
1497235014 Yao Zhou Liu Surgery 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 2018-08-14
1558840645 Tamara Gore Behavior Technician 290 W Exchange Street Suite 101, Providence, RI 02903 2018-08-09
1437642709 Adrian Cotarelo Student in an Organized Health Care Education/Training Program 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 2018-06-12
1356833024 Natalie Rita Noonan Clinical Neuropsychologist 593 Eddy St Ste 430, Providence, RI 02903 2018-05-30
Find all providers in zip 02903

Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346760568 Marilyne Cadieux Internal Medicine 593 Eddy St, Providence, RI 02903-4923 2017-06-20
1588001531 Ramesh Adhikari Internal Medicine 593 Eddy St, Providence, RI 02903-4923 2013-05-31
1235576380 Sylvester Sarfraz Internal Medicine 593 Eddy St, Providence, RI 02903-4923 2013-05-30
1194740043 Josef Nmi Sternberg Internal Medicine 830 Chalkstone Ave, Providence, VA 02980 2006-07-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730143025 James David Burrill Internal Medicine 9 Thomas Dr, Lincoln, RI 02865-4914 2006-04-13
1578547212 Naomi Y Mcmackin Internal Medicine Memorial Hospital of Ri, 111 Brewster Street, Pawtucket, RI 02860-1400 2005-12-06
1194715060 Edward W Martin Internal Medicine 169 George St, Pawtucket, RI 02860-3853 2005-10-24
1205822277 Michael Klufas Internal Medicine 525 Broad St, Suite 103, Cumberland, RI 02864-6919 2005-09-23
1568831162 Gps Physician Group of Rhode Island PC Internal Medicine 10 Woodland Dr, Coventry, RI 02816-6716 2015-09-24
1376815142 Erkan Ozturk Internal Medicine 407 East Ave, Suite 110, Pawtucket, RI 02860-5290 2012-02-08
1477843696 Edward Westrick Internal Medicine 300 Quaker Ln # C2-4, Warwick, RI 02886-0159 2011-04-08
1033415682 Mriganka Singh Internal Medicine 407 East Ave, Suite 110, Pawtucket, RI 02860-5290 2011-01-30
1851615553 Julio C Defillo Draiby Internal Medicine 375 Wampanoag Trl, Suite 102, Riverside, RI 02915-2212 2010-03-24
1528394178 Cumberland Primary Care Inc Internal Medicine 2138 Mendon Rd, Suite 101a, Cumberland, RI 02864-3834 2009-11-02
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Competitor

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City PROVIDENCE
Zip Code 02903

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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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