UNIVERSITY MEDICINE FOUNDATION, INC. (NPI# 1386786291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386786291 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY MEDICINE FOUNDATION, INC. |
| Other Organization Name | UMF - THE GOVERNOR STREET PRIMARY CARE CENTER |
| Practice Address |
285 Governor St 200 Providence RI 02906-3237 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 4012283480 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2012-10-17 |
| Authorized Official Name | KENNY HEINE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | PA00196 | RI | Suppliers |
| Other Name | Type Code |
|---|---|
| UMF - The Governor Street Primary Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780726695 | University Medicine Foundation, Inc. | Non-Pharmacy Dispensing Site | 909 N Main St, Suite 300, Providence, RI 02904-5752 | 2007-02-14 |
| Street Address |
285 GOVERNOR ST 200 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-3237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831146877 | Jeanne M Oliva | Internal Medicine | 285 Governor St, Suite 300, Providence, RI 02906-3237 | 2006-05-27 |
| 1255971966 | Courtney T Kirkman | Physical Therapist | 285 Governor St, Providence, RI 02906-3237 | 2020-01-10 |
| 1922662774 | Kate Stewart | Psychologist | 285 Governor St, Providence, RI 02906-3237 | 2019-04-26 |
| 1205314846 | Carl Lebovitz | Physical Therapist | 285 Governor St, Providence, RI 02906-3237 | 2018-08-06 |
| 1659867497 | Austin Goldenberg | Physical Therapist | 285 Governor St, Providence, RI 02906-3237 | 2018-07-05 |
| 1780181057 | Christine Dyer | Pharmacist | 285 Governor St, Providence, RI 02906-3237 | 2018-04-12 |
| 1518134261 | Anne Kugler | Social Worker | 285 Governor St, Providence, RI 02906-3237 | 2008-05-13 |
| 1871789727 | Elite Physical Therapy | Physical Therapist | 285 Governor St, Providence, RI 02906-3237 | 2007-09-24 |
| 1831310531 | Marianne Warren | Nurse Practitioner | 285 Governor St, Suite 200, Providence, RI 02906-3237 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114124864 | Coastal Medical, Inc. | Non-Pharmacy Dispensing Site | 1075 Smith St, 2nd Floor, Providence, RI 02908-2700 | 2007-06-27 |
| 1780726695 | University Medicine Foundation, Inc. | Non-Pharmacy Dispensing Site | 909 N Main St, Suite 300, Providence, RI 02904-5752 | 2007-02-14 |
| 1073655379 | Coastal Medical, Inc. | Non-Pharmacy Dispensing Site | 400 Reservoir Ave, Providence, RI 02907-3565 | 2007-02-13 |
| 1013059658 | Richard J. Ruggieri Md Inc. | Non-Pharmacy Dispensing Site | 160 Wayland Ave, Providence, RI 02906-4304 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336493535 | Atmed Treatment Center, Inc | Non-Pharmacy Dispensing Site | 5750 Post Rd, East Greenwich, RI 02818-2139 | 2012-11-09 |
| 1760754923 | Richard M. Del Sesto Md Ms Ltd | Non-Pharmacy Dispensing Site | 3410 S County Trail, 303, E. Greenwich, RI 02818 | 2012-02-03 |
| 1336370691 | Provant Health Solutions, LLC | Non-Pharmacy Dispensing Site | 42 Ladd St, Suite 214, East Greenwich, RI 02818-4361 | 2009-08-05 |
| 1063684900 | Atmed Treatment Center Inc | Non-Pharmacy Dispensing Site | 1524 Atmed Avenue, Suite 122, Johnston, RI 02919 | 2008-04-01 |
| 1184767022 | Coastal Medical, Inc. | Non-Pharmacy Dispensing Site | 761 Park Ave, Cranston, RI 02910-2137 | 2007-02-14 |
| 1144304783 | Physicians of Rhode Island Enterprises Incorporated | Non-Pharmacy Dispensing Site | 10 Nate Whipple Hw 101, Cumberland, RI 02864 | 2006-10-24 |
| 1932520509 | University Internal Medicine Inc | Non-Pharmacy Dispensing Site | 407 East Ave, Suite 120, Pawtucket, RI 02860-5290 | 2013-12-26 |
| 1669800967 | Bald Hill Walk In and Primary Care | Non-Pharmacy Dispensing Site | 300 Quaker Ln, Suite 16, Warwick, RI 02886-0159 | 2013-10-23 |
| 1538474713 | University Family Medicine | Non-Pharmacy Dispensing Site | 1351 S County Trl, 301, East Greenwich, RI 02818-5079 | 2010-08-12 |
| 1447496617 | University Medicine Foundation Inc | Non-Pharmacy Dispensing Site | 50 Memorial Blvd, Newport, RI 02840-3636 | 2008-12-18 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
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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.