DR. DENIS E MOONAN JR. (NPI# 1386626174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386626174 |
Entity Type | Individual |
Full Name | DR. DENIS E MOONAN JR. |
Credential | M.D. |
Practice Address |
1515 Smith St Suite N North Providence RI 02911-2947 |
Practice Telephone | 4013530555 |
Practice Fax Number | 4013537079 |
Mailing Telephone | 4013530555 |
Mailing Fax Number | 4013537079 |
Enumeration Date | 2005-11-16 |
Last Update Date | 2016-09-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
MD05654 | RI | Allopathic & Osteopathic Physicians |
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MD05654 | RI | Allopathic & Osteopathic Physicians |
N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
MD05654 | RI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | 9002408 | 05 | |
RI | BLUE CROSS BLUE SHIELD | 24088 | 01 |
Street Address |
1515 SMITH ST SUITE N |
City | NORTH PROVIDENCE |
State | RI |
Zip Code | 02911-2947 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386035160 | Lombardi Medical Associates, LLC | Internal Medicine | 1515 Smith St, Suite M, North Providence, RI 02911-2947 | 2015-02-14 |
1972742435 | Robert A. Paolella, M.d., Inc. | Internal Medicine | 1515 Smith St, Suite M., North Providence, RI 02911-2947 | 2009-02-06 |
1780841023 | Internal Medicine Endocrinology Associataes, Inc | Internal Medicine | 1515 Smith St, North Providence, RI 02911-2947 | 2008-05-22 |
1811179906 | Nicholas Iannuccilli Md | Radiology | 1515 Smith St, North Providence, RI 02911-2947 | 2007-11-29 |
1134267891 | Frank Mario Dalessandro Sr. | Internal Medicine | 1515 Smith St, North Providence, RI 02911-2947 | 2007-02-02 |
1447317730 | Frank Bruno D'alessandro | Internal Medicine | 1515 Smith St, North Providence, RI 02911-2947 | 2007-01-03 |
1992813273 | Nicholas D Iannuccilli | Radiology | 1515 Smith St, Ste 6, North Providence, RI 02911-2947 | 2006-08-28 |
1891759882 | Robert Anthony Paolella | Internal Medicine | 1515 Smith St, Suite M, North Providence, RI 02911-2947 | 2006-04-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790227932 | Lepre Physical Therapy | Preferred Provider Organization | 1525 Smith Street, North Providence, RI 02911 | 2016-11-04 |
1376916304 | Catherine Deborah Lariviere | Counselor | 7 Sunset Avenue, North Providence, RI 02911 | 2015-11-13 |
1184005282 | Melissa Ricciotti | Physical Therapist | 1525 Smith Street #5, North Providence, RI 02911 | 2015-06-15 |
1982041109 | Camia Crawford Dimock | Family Medicine | 33 Maple St, North Providence, RI 02911 | 2013-05-29 |
1821168642 | Patricia C Morena | Counselor | 1845 Smith St, #8, No Providence, RI 02911 | 2006-11-09 |
1619056355 | Robert W Gibbons | Podiatrist | 2050 Mineral Spring Ave, North Providence, RI 02911 | 2006-11-03 |
1063068344 | Pappas Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 1525 Smith Street, Unit #5, North Providence, RI 02911 | 2019-08-13 |
1306366695 | Linzi Rae Matta | Social Worker | 420 Fruit Hill Ave, North Providence, RI 02911 | 2017-06-27 |
1942708714 | Daphnay Laura Gabriel | Counselor | 13 Saint Marys Rd, North Providence, RI 02911-1023 | 2018-01-26 |
1093909806 | Nicole Jellinek | Social Worker | 229 Waterman Ave, Providence, RI 02911-1043 | 2007-09-05 |
Find all providers in zip 02911 |
Taxonomy Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396806352 | Michael M Palatucci | Internal Medicine | 1637 Mineral Spring Ave, Suite 215, North Providence, RI 02904-4055 | 2006-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366646820 | Kimberly A Dodd | Internal Medicine | 150 Chestnut St Ste 4, Providence, RI 02903-4649 | 2007-06-11 |
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 |
1346760568 | Marilyne Cadieux | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2017-06-20 |
1568831162 | Gps Physician Group of Rhode Island PC | Internal Medicine | 10 Woodland Dr, Coventry, RI 02816-6716 | 2015-09-24 |
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 |
1376815142 | Erkan Ozturk | Internal Medicine | 407 East Ave, Suite 110, Pawtucket, RI 02860-5290 | 2012-02-08 |
Find all providers with the same taxonomy |
City | NORTH PROVIDENCE |
Zip Code | 02911 |
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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.