BLACKSTONE MEDICAL CENTER, INC. (NPI# 1396090536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396090536 |
| Entity Type | Organization |
| Organization Name | BLACKSTONE MEDICAL CENTER, INC. |
| Other Organization Name | BLACKSTONE MEDICAL CENTER SPINE CENTER |
| Practice Address |
219 Cass Avenue Woonsocket RI 02895-4741 |
| Mailing Address |
Po Box 845582 Boston MA 02284-5582 |
| Practice Telephone | 4017694100 |
| Practice Fax Number | 4017669575 |
| Mailing Telephone | 4017694100 |
| Mailing Fax Number | 4017669575 |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-08-01 |
| Authorized Official Name | MR. JAMES RENNA (CFO) |
| Authorized Official Telephone | 6174194772 |
| Is Organization Subpart | Y |
| Parent Organization Name | STEWARD MEDICAL HOLDINGS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 00117 | RI | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 00117 | RI | Allopathic & Osteopathic Physicians |
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
00117 | RI | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 00117 | RI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Blackstone Medical Center Spine Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033464276 | Blackstone Medical Center, Inc. | Clinical Neuropsychologist | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2012-07-13 |
| 1881949014 | Blackstone Medical Center, Inc. | Nurse Practitioner | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2012-07-13 |
| 1992073308 | Blackstone Medical Center, Inc. | Psychiatric Unit | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2011-12-13 |
| 1447528856 | Blackstone Medical Center, Inc. | Internal Medicine | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2011-12-13 |
| 1538437942 | Blackstone Medical Center, Inc. | General Acute Care Hospital | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2011-12-13 |
| Street Address |
219 CASS AVENUE |
| City | WOONSOCKET |
| State | RI |
| Zip Code | 02895-4741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730732017 | Karissa Cardoso | Behavior Technician | 36 Cleveland Street, Apt 1, Woonsocket, RI 02895 | 2019-07-16 |
| 1841714177 | Richard Keith Polacek | Behavioral Analyst | 30 Cumberland St., Woonsocket, RI 02895 | 2017-07-28 |
| 1912353335 | Muria Irine Nisbett | Social Worker | 4 Gaulin Ave., Floor 4, Woonsocket, RI 02895 | 2016-05-05 |
| 1083046833 | Shaylyn Kathleen Mcteague | Podiatrist | 20 Cumberland Hill Rd Unit 210, Woonsocket, RI 02895 | 2013-08-04 |
| 1902243165 | David J. Ward Dmd, PC | Dentist | 460 S. Main St., Woonsocket, RI 02895 | 2013-05-29 |
| 1073876256 | Patricia J Corbett | Social Worker | 181 Cumberland St # 301, Woonsocket, RI 02895 | 2012-06-21 |
| 1114206521 | Patricia Nievez Alvarez | Social Worker | 181 Cumberland St Ste 301, Woonsocket, RI 02895 | 2011-08-16 |
| 1891082970 | Ann Katherine Maccarone | Speech-Language Pathologist | 1 Cumberland St., Woonoscket, RI 02895 | 2011-07-08 |
| 1043507734 | Infectious Diseases Associates of Rhode Island | Internal Medicine | 115 Cass Avenue - 3rd Floor, C/o Landmark Medical, Woonsocket, RI 02895 | 2011-07-01 |
| 1740577543 | Michelle Marie Durand Straube | Optometrist | 385 Mendon Road, Woonsocket, RI 02895 | 2011-06-30 |
| Find all providers in zip 02895 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245299023 | John W Golberg | Orthopaedic Surgery | 219 Cass Ave, Woonsocket, RI 02895-4741 | 2006-03-21 |
| 1205817103 | Carl C Dirobbio | Orthopaedic Surgery | 2345 Mendon Rd, Woonsocket, RI 02895-6144 | 2005-11-08 |
| 1457347395 | Eric Paul Launer | Orthopaedic Surgery | 206 Cass Ave, Woonsocket, RI 02895-4712 | 2005-09-26 |
| 1083886501 | Carl C. Dirobbio, Md | Orthopaedic Surgery | 2345 Mendon Rd, Woonsocket, RI 02895-6164 | 2008-03-25 |
| 1699790121 | Christopher J Breen | Orthopaedic Surgery | 219 Cass Ave, Woonsocket, RI 02895-4741 | 2006-07-13 |
| 1467483552 | Jacques Bonnet-eymard | Orthopaedic Surgery | 219 Cass Ave, Woonsocket, RI 02895-4741 | 2006-07-06 |
| 1467406447 | Edward P Andersen Md Ltd | Orthopaedic Surgery | 283 Pond St, Woonsocket, RI 02895-2006 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427521830 | University Orthopedics, Inc. | Orthopaedic Surgery | 1351 Smith St Ste 103, North Providence, RI 02911-3340 | 2019-01-08 |
| 1811474224 | University Orthopedics, Inc. | Orthopaedic Surgery | 1598 S County Trl Ste 203, East Greenwich, RI 02818-1762 | 2018-07-27 |
| 1841741931 | Orthopedics Rhode Island, Inc | Orthopaedic Surgery | 268 Post Road, Westerly, RI 02891 | 2016-10-24 |
| 1730638404 | University Orthopedics, Inc. | Orthopaedic Surgery | 300 Industrial Way, Tiverton, RI 02878-3128 | 2016-09-23 |
| 1730430778 | Anthony Frank Merlino | Orthopaedic Surgery | 2 Country Side Drive, North Providence, RI 02904-3419 | 2012-10-01 |
| 1154682623 | John Walter Hayes | Orthopaedic Surgery | 220 Day Lily Cir, South Kingstown, RI 02879-5498 | 2012-05-31 |
| 1386948719 | Geret A Du Bois Md, Inc | Orthopaedic Surgery | 330 Cottage St, Pawtucket, RI 02860 | 2010-12-28 |
| 1851556849 | Stephan D Deutsch | Orthopaedic Surgery | 1 Wayland Ave Unit 316n, Providence, RI 02906-4565 | 2008-07-19 |
| 1215190152 | Robert J. Fortuna, Md,ltd | Orthopaedic Surgery | 211 Armistice Blvd, Pawtucket, RI 02860-3242 | 2008-07-09 |
| 1568642411 | Michael Anthony De Luca | Orthopaedic Surgery | 683 Neck Rd, Tiverton, RI 02878-4011 | 2007-11-08 |
| Find all providers with the same taxonomy | ||||
| City | WOONSOCKET |
| Zip Code | 02895 |
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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.