KUNJBALA SHARMA (NPI# 1477618528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477618528 |
| Entity Type | Individual |
| Full Name | KUNJBALA SHARMA |
| Other Name | DR. KUNJBALA SHARMA |
| Credential | MD |
| Practice Address |
1145 Main St Pawtucket RI 02860-4807 |
| Mailing Address |
39 East Ave Blackstone Valley Community Health Care Pawtucket RI 02860-4003 |
| Practice Telephone | 4017220081 |
| Practice Fax Number | 4013120318 |
| Mailing Telephone | 4017220081 |
| Mailing Fax Number | 4013120318 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2019-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD07897 | RI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 39079 | MA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 39079 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9765239 | 05 | |
| RI | BC BS OF RI | 400561 | 01 |
| MA | NETWORK HEALTH | 961244-01 | 01 |
| MA | BC BS OF MA | E05285 | 01 |
| RI | BC BS OF RI (BLUECHIP) | 400561 | 01 |
| Street Address |
1145 MAIN ST |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-4807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225138597 | Hope Ellen Burns | Physician Assistant | 1145 Main St, Pawtucket, RI 02860-4807 | 2006-09-25 |
| 1821465386 | Ann Pearce Bisland | Nurse Practitioner | 1145 Main St, Pawtucket, RI 02860-4807 | 2015-08-31 |
| 1518067883 | Todd Evan Handel | Physical Medicine & Rehabilitation | 1145 Main St, Pawtucket, RI 02860-4807 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
| 1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
| 1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
| 1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
| 1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
| 1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
| 1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
| 1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
| Find all providers in zip 02860 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750930103 | Integrated Psychological Services | Family Medicine | 333 School St Ste 109, Pawtucket, RI 02860-5335 | 2019-09-09 |
| 1417417734 | Danielle Turnquest | Family Medicine | 111 Brewster St Bldg 3, Pawtucket, RI 02860-4474 | 2019-03-22 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
| 1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
| 1093120388 | Nelson Mendes | Family Medicine | 381 Pawtucket Ave, Pawtucket, RI 02860-5145 | 2014-06-25 |
| 1316187941 | Powers Family Health | Family Medicine | 174 Armistice Blvd Ste A1, Pawtucket, RI 02860-3269 | 2009-02-23 |
| 1376700039 | Suryadutt Venkat | Family Medicine | 126 Prospect St Ste 202, Pawtucket, RI 02860 | 2008-05-20 |
| 1154501708 | Donya A Powers Md | Family Medicine | 174 Armistice Blvd Ste 1a, Pawtucket, RI 02860-3269 | 2007-11-13 |
| 1386757656 | Cristina Pacheco | Family Medicine | 39 East Ave, Pawtucket, RI 02860-4003 | 2006-08-17 |
| Find all providers in PAWTUCKET | ||||
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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.