UNIVERSITY GASTROENTEROLOGY, LLC


Address: 33 Staniford St, Providence, RI 02905
Phone: 4014218800

UNIVERSITY GASTROENTEROLOGY, LLC (NPI# 1386952612) 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) 1386952612
Entity Type Organization
Organization Name UNIVERSITY GASTROENTEROLOGY, LLC
Practice Address 33 Staniford St
Providence
RI 02905
Mailing Address 33 Staniford St
Providence
RI 02905-3105
Practice Telephone 4014218800
Practice Fax Number 4012736510
Mailing Telephone 4014218800
Mailing Fax Number 4012736510
Enumeration Date 2010-09-21
Last Update Date 2019-07-31
Authorized Official Name MRS. KRISTY OLIVER (CREDENTIAING MANAGER)
Authorized Official Telephone 4016494250
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZC0006X Pathology
Specialization: Clinical Pathology
Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
110 Clock Tower Sq Ste 100, Portsmouth, RI 028711396 4012935600 4014212492
1407 S County Trl Ste 410, East Greenwich, RI 028181679 4018864040 4014212492
148 W River St Ste 3, Providence, RI 029042615 4014216306 4014530330

Office Location

Street Address 33 STANIFORD ST
City PROVIDENCE
State RI
Zip Code 02905

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720085657 Bayside Endoscopy Center, LLC Clinic/Center 33 Staniford St, Providence, RI 02905-3105 2005-07-07
1790295285 Lea Rene Kelly Nurse Practitioner 33 Staniford St, Providence, RI 02905-3105 2017-10-10
1679976187 Bridget Boyle Fitzgibbon Nurse Practitioner 33 Staniford St, Providence, RI 02905-3105 2014-09-29
1306079843 Leslie Cashel Md Inc Internal Medicine 33 Staniford St, Providence, RI 02905-3105 2009-09-01
1679711519 William T. Chen Medical, Inc. Internal Medicine 33 Staniford St, Providence, RI 02905-3105 2009-01-30
1104064047 Leslie Cashel M.d., Inc. Internal Medicine 33 Staniford St, Providence, RI 02905-3105 2009-01-30
1215175351 Eric Newton Md LLC Internal Medicine 33 Staniford St, Providence, RI 02905-3105 2009-01-28
1437324530 Edward A. Pensa Medical Inc. Internal Medicine 33 Staniford St, Providence, RI 02905-3105 2008-04-29
1952430019 Eric B. Newton Internal Medicine 33 Staniford St, Providence, RI 02905-3105 2007-03-05
1174694459 Daniel Quirk, Md, Inc. Internal Medicine 33 Staniford St, Providence, RI 02905-3105 2006-11-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477100808 Raisa Emilia Garcia-diaz Counselor 66 Pavilion Avenue, Providence, RI 02905 2019-08-21
1962976571 Nike A. Kendall Social Worker Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 2019-01-16
1891265443 Carolyn Te Young Pathology 1320 Narragansett Blvd, Cranston, RI 02905 2018-11-27
1417427071 Julianne Elizabeth Houtchens Dietitian, Registered Adult Primary Care 245 Chapman Street, Providence, RI 02905 2018-11-27
1922577394 Dilenia C Cruz Health Educator 335r Prairie Ave., Suite 2b, Providence, RI 02905 2018-11-15
1639653116 Varina S. Gunn Health Educator 335r Prarie Ave., Suite 2b, Providence, RI 02905 2018-09-20
1427590421 Cardea Healthcare LLC In Home Supportive Care 100 Pavilion Avenue, Suite 101, Providence, RI 02905 2016-11-08
1265884597 Maxwell King Physical Therapy Assistant 48 Moorland Avenue, Cranston, RI 02905 2016-07-11
1346698024 Samantha Lea Colli Physician Assistant 100 Dudley St Fl 3, Providence, RI 02905 2016-06-02
1346697448 Amy Jean Simpson Marriage & Family Therapist 1981 Broad Street, Cranston, RI 02905 2016-05-18
Find all providers in zip 02905

Taxonomy Information

Taxonomy Code 207ZC0006X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic "clinical pathology only" route. Board Certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104252345 Yiru Wu Pathology 593 Eddy St, Providence, RI 02903 2013-09-19

Competitor

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City PROVIDENCE
Zip Code 02905

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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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