DR. PETER ANDREW SOUKAS (NPI# 1467447763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467447763 |
Entity Type | Individual |
Full Name | DR. PETER ANDREW SOUKAS |
Credential | M.D. |
Practice Address |
208 Collyer St Suite 100 Providence RI 02904-1560 |
Mailing Address |
117 Ellenfield St Suite 101 Providence RI 02905-4513 |
Practice Telephone | 4017937191 |
Practice Fax Number | 4017937200 |
Mailing Telephone | 4014446779 |
Mailing Fax Number | 4014446912 |
Enumeration Date | 2005-09-13 |
Last Update Date | 2015-04-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
13236 | RI | Allopathic & Osteopathic Physicians |
Street Address |
208 COLLYER ST SUITE 100 |
City | PROVIDENCE |
State | RI |
Zip Code | 02904-1560 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144225673 | Robert Anthony Indeglia | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208 Collyer St, Providence, RI 02904-1560 | 2005-06-21 |
1386284768 | Megan E Silveira | Nurse Practitioner | 208 Collyer St, Providence, RI 02904-1560 | 2020-01-13 |
1982123808 | Katie Michelle Seleznev | Nurse Practitioner | 208 Collyer St, Providence, RI 02904-1560 | 2017-09-12 |
1851677470 | The Miriam Hospital | Internal Medicine | 208 Collyer St, Suite 100, Providence, RI 02904-1560 | 2011-10-27 |
1033448881 | Mark James Nash | Physician Assistant | 208 Collyer St, Providence, RI 02904-1560 | 2009-12-08 |
1942474895 | Binu Philips | Internal Medicine | 208 Collyer St, Suite 100, Providence, RI 02904-1560 | 2008-04-22 |
1194907790 | Dawn Marie Jenison | Physician Assistant | 208 Collyer St, Thoracic and Cardiovascular Surgical Center, Providence, RI 02904-1560 | 2007-12-05 |
1386764785 | Leslie Aileen Roth | Surgery | 208 Collyer St, Suite 302, Providence, RI 02904-1560 | 2007-03-30 |
1427185792 | Gail Evelyn Bunce | Nurse Practitioner | 208 Collyer St, Providence, RI 02904-1560 | 2007-02-27 |
1295885283 | Jacqueline Fasulo Pierce | Physical Therapist | 208 Collyer St, Pulmonary Rehab, Providence, RI 02904-1560 | 2007-01-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
Find all providers in zip 02904 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285693051 | David L Kitzes | Internal Medicine | 1165 North Main Street, Suite 200, Providence, RI 02904-5740 | 2006-03-21 |
1639494339 | Brian J Brown | Internal Medicine | 593 Eddy St, Apc 731, Providence, RI 02903-4923 | 2010-04-06 |
1992898977 | Barbara H Roberts | Internal Medicine | 164 Summit Ave, Fain Bldg. Flr# 2, Providence, RI 02906-2853 | 2006-10-02 |
1811918394 | George R. Mckendall | Internal Medicine | 2 Dudley St, Suite 360, Providence, RI 02905-3236 | 2006-07-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972614733 | Gilbert J Altongy | Internal Medicine | 1002 Broad Street, Central Falls, RI 02863 | 2006-08-31 |
1972566834 | Shafiq Tajden Mamdani | Internal Medicine | 450 Veterans Memorial Pkwy, Building 15, East Providence, RI 02914-5300 | 2006-04-10 |
City | PROVIDENCE |
Zip Code | 02904 |
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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.