THE MIRIAM HOSPITAL (NPI# 1477700243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477700243 |
| Entity Type | Organization |
| Organization Name | THE MIRIAM HOSPITAL |
| Other Organization Name | THE MIRIAM HOSPITAL CARDIOVASCULAR SURGERY DIVISION |
| Practice Address |
164 Summit Ave Providence RI 02906-2853 |
| Mailing Address |
Po Box 16149 Rumford RI 02916-0697 |
| Practice Telephone | 4017934569 |
| Practice Fax Number | 4017934008 |
| Mailing Telephone | 4014539625 |
| Mailing Fax Number | 4014357069 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2008-08-25 |
| Authorized Official Name | MR. MICHAEL K LALLY (DIRECTOR, CLINICAL BUSINESS AFFAIRS) |
| Authorized Official Telephone | 4017934612 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE MIRIAM HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | RI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Miriam Hospital Cardiovascular Surgery Division | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518482389 | The Miriam Hospital | Clinic/Center | 1454 S County Trl Ste 1100, East Greenwich, RI 02818-1750 | 2017-08-14 |
| 1902027808 | The Miriam Hospital | Clinic/Center | 11 Summit Ave, Providence, RI 02906-2506 | 2007-05-01 |
| 1568567790 | The Miriam Hospital | Nurse Practitioner | 14 Third Street, Providence, RI 02906-2738 | 2006-09-13 |
| 1225073638 | The Miriam Hospital | Clinical Nurse Specialist | 146 W River St Ste 11a, Providence, RI 02904-2609 | 2006-06-19 |
| 1588088850 | The Miriam Hospital | Internal Medicine | 164 Summit Ave, Fain Bldg, Providence, RI 02906-2853 | 2014-02-07 |
| 1740615277 | The Miriam Hospital | General Acute Care Hospital | 164 Summit Ave, Providence, RI 02906-2853 | 2013-09-03 |
| 1669726451 | The Miriam Hospital | Clinic/Center | 164 Summit Ave, 2rd Floor Fain Building, Providence, RI 02906-2853 | 2012-11-01 |
| 1649538323 | The Miriam Hospital | Clinic/Center | 146 W River St, Providence, RI 02904-2609 | 2012-05-01 |
| 1275810434 | The Miriam Hospital | Psychiatry & Neurology | 1125 N Main St, Providence, RI 02904-5739 | 2011-11-15 |
| 1851677470 | The Miriam Hospital | Internal Medicine | 208 Collyer St, Suite 100, Providence, RI 02904-1560 | 2011-10-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | THE MIRIAM HOSPITAL | 164 Summit Ave, Providence, RI 02906-2894 |
| Street Address |
164 SUMMIT AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558369512 | Josephine Salhab | Physician Assistant | 164 Summit Ave, Rm C70, Providence, RI 02906-2853 | 2005-07-13 |
| 1619519865 | Sarah Mcnerney | Physician Assistant | 164 Summit Ave, Providence, RI 02906-2853 | 2019-10-09 |
| 1831743095 | Tracy Lynn Carraggi | Nurse Practitioner | 164 Summit Ave, Providence, RI 02906-2853 | 2019-07-26 |
| 1689233975 | Nicole Parascandolo | Nurse Practitioner | 164 Summit Ave, Providence, RI 02906-2894 | 2019-06-10 |
| 1164992558 | Lisha Andrew | Dietitian, Registered | 164 Summit Ave, Providence, RI 02906-2894 | 2018-11-28 |
| 1689156242 | Monique Coley | Physician Assistant | 164 Summit Ave, Providence, RI 02906-2894 | 2018-08-30 |
| 1235615006 | Sameh Mohamed | Internal Medicine | 164 Summit Ave, Providence, RI 02906-2894 | 2018-07-16 |
| 1578058087 | Noor N Safadi | Physician Assistant | 164 Summit Ave, Providence, RI 02906-2853 | 2018-06-27 |
| 1356847172 | Heidi Jimenez | Nurse Practitioner | 164 Summit Ave, Providence, RI 02906 | 2018-04-02 |
| 1831694439 | Laura Canavan | Nurse Practitioner | 164 Summit Ave, Providence, RI 02906 | 2018-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457304859 | Frank W. Sellke | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Two Dudley Street, Ste. 470, University Cardiovascular Surgical Associates, Providence, RI 02905 | 2006-05-18 |
| 1144225673 | Robert Anthony Indeglia | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208 Collyer St, Providence, RI 02904-1560 | 2005-06-21 |
| 1770728024 | University Cardiovascular Surgical Associates Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2 Dudley St, Suite 470, Providence, RI 02905-3236 | 2008-12-15 |
| 1194980219 | Ikenna Chidume Okereke | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2 Dudley St, Suite 470, Providence, RI 02905-3236 | 2008-07-29 |
| 1588821078 | Steven Milman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2 Dudley St, Suite 470, Providence, RI 02905-3236 | 2008-05-21 |
| 1841470051 | Seacoast Thoracic & Cardiovascular Surgery Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Randall Sq, Suite 414, Providence, RI 02904-2709 | 2007-11-06 |
| 1437232543 | Providence Surgical Care Group, Incorporated | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 486 Silver Spring St, Providence, RI 02904-1556 | 2006-10-23 |
| 1689695736 | Anthony Le Roy Moulton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Randall Sq, Ste 414, Providence, RI 02904-2709 | 2006-07-22 |
| 1427094267 | Michael Anthony Coady | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 164 Summit Ave, Gilstein Bldg, #1053, Providence, RI 02906-2853 | 2006-06-21 |
| 1538117577 | James G Fingleton Md | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208 Collyer St, Providence, RI 02904-1560 | 2006-05-04 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
Please comment or provide details below to improve the information on THE MIRIAM HOSPITAL.
| 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.