TIMOTHY DRURY (NPI# 1407825904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407825904 |
| Entity Type | Individual |
| Full Name | TIMOTHY DRURY |
| Credential | M.D. |
| Practice Address |
100 Kenyon Ave Wakefield RI 02879-4216 |
| Mailing Address |
275 Martine St Suite 301 Fall River MA 02723-1516 |
| Practice Telephone | 5086757535 |
| Practice Fax Number | 5086757905 |
| Mailing Telephone | 5086757535 |
| Mailing Fax Number | 5086757905 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
MD04891 | RI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890371 | Timothy W Drury | Emergency Medicine | 3131 Queen City Ave, Cincinnati, OH 45238-2316 | 2005-06-13 |
| Street Address |
100 KENYON AVE |
| City | WAKEFIELD |
| State | RI |
| Zip Code | 02879-4216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285618009 | Kimberly Ann Cox | Anesthesiology | 100 Kenyon Ave, Wakefield, RI 02879-4216 | 2005-12-05 |
| 1639786619 | Holly B. Fuscaldo | Social Worker | 100 Kenyon Ave, Wakefield, RI 02879 | 2020-09-24 |
| 1851900286 | Silver Spring Health Care Management, Inc | Radiology | 100 Kenyon Ave, Wakefield, RI 02879-4216 | 2020-07-31 |
| 1003442476 | Michaella Elizabeth Marzullo | Physician Assistant | 100 Kenyon Ave, Wakefield, RI 02879-4299 | 2020-03-18 |
| 1023669264 | Mollie Jean Garrison | Nurse Practitioner | 100 Kenyon Ave, Wakefield, RI 02879-4216 | 2019-09-27 |
| 1972163137 | Stephanie Maggs | Nurse Practitioner | 100 Kenyon Ave, Wakefield, RI 02879-4216 | 2019-06-19 |
| 1346730280 | Silver Spring Health Care Management, Inc | Nurse Practitioner | 100 Kenyon Ave, Wakefield, RI 02879-4216 | 2018-05-16 |
| 1013421858 | Cassandra Tibbits | Social Worker | 100 Kenyon Ave, Wakefield, RI 02879-4216 | 2017-11-30 |
| 1568975266 | Emily Kay Fails | Nurse Practitioner | 100 Kenyon Ave, Wakefield, RI 02879 | 2017-11-16 |
| 1992224497 | Silver Spring Health Care Management, Inc. | Nurse Practitioner | 100 Kenyon Ave, Wakefield, RI 02879-4216 | 2017-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831549435 | Bh Brightview Commons Opco, LLC | Alzheimer Center (Dementia Center) | 57 Grandeville Court, Wakefield, RI 02879 | 2016-06-15 |
| 1215392071 | Leslie Healy | Occupational Therapist | 12 Galleon Ct, Wakefield, RI 02879 | 2015-12-22 |
| 1649673799 | Peter Storti | Clinic/Center | 28 Columbia Street, Wakefield, RI 02879 | 2014-10-03 |
| 1285988790 | Silver Spring Health Care Management, Inc. | Physician Assistant | 70 Kenyon Ave Unit 321, Wakefield, RI 02879 | 2012-11-06 |
| 1013271584 | Amy Lee Barker | Speech-Language Pathologist | 213 Robinson Street, Wakefield, RI 02879 | 2012-06-29 |
| 1366708489 | Paige Houlihan | Student in an Organized Health Care Education/Training Program | 91 Rocky Brook Way St, Wakefield, RI 02879 | 2012-04-03 |
| 1639307176 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53 Dockray Street, Wakefield, RI 02879 | 2009-06-23 |
| 1649482233 | Marilyn A. Cooney | Speech-Language Pathologist | 307 Curtis Corner Road, Wakefield, RI 02879 | 2007-05-04 |
| 1518184522 | Keeley Therese Dante-card | Registered Nurse | 55 Cherry Lane, Wakefield, RI 02879 | 2007-04-19 |
| 1679799217 | Codac Inc | Peer Specialist | 350 Columbia St, Codac South County, Wakefield, RI 02879 | 2007-04-18 |
| Find all providers in zip 02879 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003867268 | Robert Crouse | Emergency Medicine | 100 Kenyon Ave, Wakefield, RI 02879-4216 | 2006-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497716054 | Alexandra Nicole Thran | Emergency Medicine | 561 Seaside Dr, Jamestown, RI 02835-2357 | 2006-03-31 |
| 1174985824 | Chelsea Laber | Emergency Medicine | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2016-03-22 |
| 1639537335 | Emergency Care Services of New England PC | Emergency Medicine | 200 High Service Ave, Er, North Providence, RI 02904-5113 | 2016-02-09 |
| 1821434580 | Emergency Medicine Physicians of Washington County, LLC | Emergency Medicine | 25 Wells St, Westerly, RI 02891-2922 | 2013-05-21 |
| 1578608667 | Bradley D Heermann | Emergency Medicine | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2007-02-20 |
| 1588746267 | Dominador Q Falguera | Emergency Medicine | 1150 Reservoir Ave, Cranston, RI 02920-6068 | 2006-10-20 |
| 1710069414 | Dennis J Romano | Emergency Medicine | 1150 Reservoir Ave, Cranston, RI 02920-6068 | 2006-10-20 |
| 1508948332 | William T Creighton | Emergency Medicine | 1150 Reservoir Ave, Cranston, RI 02920-6068 | 2006-10-20 |
| 1073695797 | Joseph N Deruosi | Emergency Medicine | 1150 Reservoir Ave, Cranston, RI 02920-6068 | 2006-10-20 |
| 1982713020 | Edward L Cullen | Emergency Medicine | 1150 Reservoir Ave, #100, Cranston, RI 02920-6068 | 2006-08-30 |
| Find all providers with the same taxonomy | ||||
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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.