JASON TARTAGLIONE (NPI# 1386900165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386900165 |
| Entity Type | Individual |
| Full Name | JASON TARTAGLIONE |
| Credential | M.D. |
| Practice Address |
120 Centerville Rd Warwick RI 02886-4336 |
| Practice Telephone | 4017383730 |
| Practice Fax Number | 4017383777 |
| Mailing Telephone | 4017383730 |
| Mailing Fax Number | 4017383777 |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
MD16123 | RI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 63264 | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 120 Centerville Rd, Warwick, RI 028864336 | 4017383730 | 4017383777 |
| 47 New Scotland Ave, Albany, NY 122083412 | 5182623095 |
| Street Address |
120 CENTERVILLE RD |
| City | WARWICK |
| State | RI |
| Zip Code | 02886-4336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891799482 | David J Caldarella | Podiatrist | 120 Centerville Rd, Warwick, RI 02886-4336 | 2005-06-10 |
| 1174083794 | Peter Basilios | Physician Assistant | 120 Centerville Rd, Warwick, RI 02886-4336 | 2019-03-20 |
| 1629503511 | Melissa Tabatchnick | Physician Assistant | 120 Centerville Rd, Warwick, RI 02886-4336 | 2017-04-27 |
| 1841742905 | Casey Ashby | Occupational Therapist | 120 Centerville Rd, Warwick, RI 02886-4336 | 2016-10-25 |
| 1225444607 | Nathan David Howlett | Orthopaedic Surgery | 120 Centerville Rd, Warwick, RI 02886-4336 | 2014-07-07 |
| 1851738470 | Kimberly Victoria Chapman | Physician Assistant | 120 Centerville Rd, Warwick, RI 02886-4336 | 2013-05-23 |
| 1033488218 | Arlene Denise Kavanagh | Physician Assistant | 120 Centerville Rd, Warwick, RI 02886-4336 | 2011-12-18 |
| 1225313158 | Jeffrey J. Kozlik | Physical Therapist | 120 Centerville Rd, Physical Therapy Department, Warwick, RI 02886-4336 | 2011-10-11 |
| 1588719850 | Richard Raoul Jalbert Jr. | Registered Nurse | 120 Centerville Rd, Warwick, RI 02886-4336 | 2007-01-24 |
| 1114075793 | Elizabeth Albro | Physical Therapist | 120 Centerville Rd, Warwick, RI 02886-4336 | 2007-01-08 |
| Find all providers in the same location | ||||
| 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 Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912959172 | Anthony P Mechrefe | Orthopaedic Surgery | 120 Centerville Road, Warwick, RI 02886 | 2006-05-16 |
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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.