ROGER WILLIAMS MEDICAL CENTER (NPI# 1477977064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477977064 |
| Entity Type | Organization |
| Organization Name | ROGER WILLIAMS MEDICAL CENTER |
| Practice Address |
825 Chalkstone Ave Providence RI 02908-4728 |
| Mailing Address |
825 Chalkstone Ave N. Campus Business Office, Attn: R. Soares Providence RI 02908-4728 |
| Practice Telephone | 4014562000 |
| Mailing Telephone | 4014562525 |
| Mailing Fax Number | 4014566742 |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |
| Authorized Official Name | KENNETH BELCHER (PRESIDENT, CEO) |
| Authorized Official Telephone | 4014562525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | HOS00108 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | LICENSE NUMBER | HOS00108 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912253675 | Roger Williams Medical Center | Long Term Care Hospital | 25 Chalkstone Ave, Providence, RI 02908 | 2012-07-31 |
| 1063853661 | Roger Williams Medical Center | General Acute Care Hospital | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2013-07-11 |
| 1760736557 | Roger Williams Medical Center | Surgery | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2012-11-01 |
| 1710244157 | Roger Williams Medical Center | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2012-04-23 |
| 1518987981 | Roger Williams Medical Center | Surgery | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2006-07-20 |
| 1568498392 | Roger Williams Medical Center | Nutritionist | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2006-06-23 |
| 1457395998 | Roger Williams Medical Center | Psychiatry & Neurology | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2006-06-15 |
| 1114961729 | Roger Williams Medical Center | Home Health | 50 Maude St, Providence, RI 02908-4325 | 2006-06-15 |
| 1649278250 | Roger Williams Medical Center | General Acute Care Hospital | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2005-07-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ROGER WILLIAMS MEDICAL CENTER | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Street Address |
825 CHALKSTONE AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02908-4728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459263 | Ritesh Rathore | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2005-07-07 |
| 1821698903 | Afsana Jahan | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-10-28 |
| 1861090508 | Anthony Joseph Paoletta | Social Worker | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-10-14 |
| 1255941720 | Georgio Medawar | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-08-08 |
| 1265042733 | Jessica Khoury | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-08-08 |
| 1215547617 | Amy Remillard | Social Worker | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-31 |
| 1225647738 | Abdallah Mohamed | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-30 |
| 1467061309 | Catherine Ekladios | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-27 |
| 1982213948 | Jamal Al Ali | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-27 |
| 1811506793 | Sadollah Ghasempour Soleymani | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771900 | Horizon Wellness | Clinic/Center | 1339 Smith St, North Providence, RI 02908 | 2017-10-12 |
| 1477098069 | Beth Perry | Nurse Practitioner | 830 Chalstone Ave., Providence, RI 02908 | 2017-01-05 |
| 1659788735 | Brandi Kimble | Podiatrist | 825 Chalkstone Avenue, Providence, RI 02908 | 2014-07-21 |
| 1912253675 | Roger Williams Medical Center | Long Term Care Hospital | 25 Chalkstone Ave, Providence, RI 02908 | 2012-07-31 |
| 1669768818 | Elisa Semedo | Physical Therapist | 285 Promenade Street, Providence, RI 02908 | 2011-06-27 |
| 1255655502 | Caregiver Homes of Rhode Island Inc. | Custodial Care Facility | 235 Promenade Street, Providence, RI 02908 | 2010-03-16 |
| 1487884987 | Professional Ambulance LLC | Ambulance | 52 River Ave, Providence, RI 02908 | 2009-07-17 |
| 1609065804 | Stephen W Davis | Family Medicine | 299 Promenade Street, Nhpri, Providence, RI 02908 | 2007-10-24 |
| 1205053899 | John R Ricci | Dentist | 1252 Smith St, Providence, RI 02908 | 2007-04-18 |
| 1871718718 | Brett C Auclaire | Nurse Practitioner | 40 Candace Street, Providence, RI 02908 | 2007-04-16 |
| Find all providers in zip 02908 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548685985 | Agape Medical Spa of Warwick, Inc | Dermatology | 49 Seekonk St Unit 3, Providence, RI 02906-5176 | 2014-02-21 |
| 1124382023 | Scott Hammerman | Dermatology | 50 Maude St Fl 1, Department of Dermatology and Skin Surgery, Providence, RI 02908-4325 | 2012-06-26 |
| 1598086720 | Cory B Maughan | Dermatology | 169 N Gateway Dr Ste 100, Providence, UT 84332 | 2010-06-22 |
| 1215086988 | Laura Della Torre | Dermatology | 1539 Atwood Ave Ste 301, Providence, RI 02919-3262 | 2007-01-10 |
| 1720044134 | Abrar A Qureshi | Dermatology | 593 Eddy Street, Apc-10, Providence, RI 02903 | 2006-04-25 |
| 1962473314 | Lionel G Bercovitch | Dermatology | 593 Eddy Street, Apc-10, Providence, RI 02903 | 2006-02-01 |
| 1225037377 | Elizabeth Ann Welch | Dermatology | 1287 N Main St, Providence, RI 02904-1856 | 2005-07-20 |
| 1255337671 | Stephen Ernest Glinick | Dermatology | 593 Eddy St Bldg Apc -10, Providence, RI 02903-4923 | 2005-06-21 |
| 1538715990 | Alexandra Leonard | Dermatology | 593 Eddy St, Providence, RI 02903-4923 | 2019-08-12 |
| 1568029957 | Cbm Derm LLC | Dermatology | 169 N Gateway Dr Ste 100, Providence, UT 84332-9860 | 2019-05-22 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02908 |
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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.