NEWPORT NEUROLOGIC AND ELECTRODIAGNOSTIC CENTER PC (NPI# 1497994826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497994826 |
| Entity Type | Organization |
| Organization Name | NEWPORT NEUROLOGIC AND ELECTRODIAGNOSTIC CENTER PC |
| Practice Address |
23 Powel Ave Newport RI 02840-2671 |
| Practice Telephone | 4016195740 |
| Practice Fax Number | 4016195742 |
| Mailing Telephone | 4016195740 |
| Mailing Fax Number | 4016195742 |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2009-08-14 |
| Authorized Official Name | DR. GRACE A MEDEIROS (OWNER/PRESIDENT) |
| Authorized Official Telephone | 4016195740 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD09160 | RI | Allopathic & Osteopathic Physicians |
| Street Address |
23 POWEL AVE |
| City | NEWPORT |
| State | RI |
| Zip Code | 02840-2671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689688210 | Joseph Blumen | General Practice | 23 Powel Ave, Newport, RI 02840-2616 | 2006-07-28 |
| 1134238587 | Dale Blumen | Marriage & Family Therapist | 23 Powel Ave, Suite 2, Newport, RI 02840-2671 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993465 | Jacquelene Henderson | Counselor | 1341 West Main Road, Suite 16, Newport, RI 02840 | 2018-12-12 |
| 1619406683 | Lauren A Mcgovern | Social Worker | 8 Freebody St Ste 101, Newport, RI 02840 | 2017-06-05 |
| 1922388289 | Newport Family Foot Care, LLC | Podiatrist | 329 Broadway, Newport, RI 02840 | 2011-08-18 |
| 1578867255 | Nora K Griscom | Social Worker | 130 Bellevue Ave Ste 214, Newport, RI 02840 | 2011-01-10 |
| 1528200326 | Jessica Marie Welsh | Speech-Language Pathologist | 10 Friendship Street, Newport, RI 02840 | 2009-03-25 |
| 1023139037 | Elizabeth J Hayes | Counselor | Codac Inc, 93 Thames St, Newport, RI 02840 | 2007-04-03 |
| 1265551105 | Richatd Stengel | Dentist | East Bay Community Action Program, 19 Broadway, Newport, RI 02840 | 2007-03-29 |
| 1235262346 | Jon E Brett | Psychologist | 37 Powel Avenue, Newport, RI 02840 | 2007-03-14 |
| 1710018668 | James L Maher Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 120 Hillside Ave, Newport, RI 02840 | 2007-03-09 |
| 1285760736 | John Louis Salomone | Dentist | 73 Memorial Blvd, Newport, RI 02840 | 2007-02-26 |
| Find all providers in zip 02840 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710924220 | Patricia D. Blos'e | Psychiatry & Neurology | 1600 N Coast Hwy, Newport, OR 97365-2357 | 2006-06-01 |
| 1164489589 | Arvo Kanna | Psychiatry & Neurology | 434 4th St Ste 201, Newport, TN 37821-3736 | 2006-04-28 |
| 1831171438 | Rizwan Ul Haq | Psychiatry & Neurology | 189 Prouty Dr, Medical Arts Building 2nd Floor, Newport, VT 05855-9326 | 2005-11-18 |
| 1821416637 | Preston W Douglas | Psychiatry & Neurology | 19 Friendship St, Newport, RI 02840-2272 | 2014-03-31 |
| 1972634889 | North Country Hospital & Health Center Inc | Psychiatry & Neurology | 189 Prouty Dr, Newport, VT 05855-9326 | 2007-03-09 |
| 1285722314 | Michael J Vecchione | Psychiatry & Neurology | 19 Friendship St, Suite 160, Newport, RI 02840-2200 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215597000 | Liqi Shu | Psychiatry & Neurology | Rhode Island Hospital, 593 Eddy St, Providence, RI 02903-4923 | 2019-06-14 |
| 1093998676 | Randy Kozel Md | Psychiatry & Neurology | 112 Clock Tower Sq, Portsmouth, RI 02871-1396 | 2007-12-06 |
| 1982745923 | Southern New England Neurology,llc | Psychiatry & Neurology | 814 Metacom Ave, Bristol, RI 02809-5160 | 2007-02-11 |
| 1518040559 | Andrew Peter Lekos | Psychiatry & Neurology | Howard Complex, Regan Building, Cranston, RI 02920 | 2006-10-23 |
| 1487746467 | William J Golini | Psychiatry & Neurology | 725 Reservoir Avenue, Suite 308, Cranston, RI 02910 | 2006-09-28 |
| 1023039740 | Dennis Joseph Aumentado | Psychiatry & Neurology | 1065 Mendon Rd, Woonsocket, RI 02895-3927 | 2006-07-21 |
| 1982630927 | Edward M Donnelly | Psychiatry & Neurology | 1454 S County Trl, East Greenwich, RI 02818-1627 | 2006-06-23 |
| 1396703294 | Israel Yaar | Psychiatry & Neurology | Davis Park (127a), Va Medical Center, Providence, RI 02908 | 2006-05-02 |
| 1356308027 | Bristol Neurology, Inc | Psychiatry & Neurology | 448 Hope St, Bristol, RI 02809-1806 | 2006-04-27 |
| 1720045438 | Stephen T Mernoff | Psychiatry & Neurology | 877 Chalkstone Ave, Providence, RI 02908-4728 | 2006-04-27 |
| 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.