SPECTRUM FAMILY HEALTH INC (NPI# 1518907302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518907302 |
| Entity Type | Organization |
| Organization Name | SPECTRUM FAMILY HEALTH INC |
| Practice Address |
541 Newport Ave Pawtucket RI 02861-3624 |
| Mailing Address |
10 Orms St Suite 110 Providence RI 02904-2228 |
| Practice Telephone | 4014754588 |
| Practice Fax Number | 4014754589 |
| Mailing Telephone | 4014530666 |
| Mailing Fax Number | 4014539619 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MANOJ K GARG (PRESIDENT) |
| Authorized Official Telephone | 4014754588 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
541 NEWPORT AVE |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02861-3624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629525209 | Brianna Laurila | Dietitian, Registered | 541 Cottage Street, Pawtucket, RI 02861 | 2016-09-01 |
| 1790056430 | Matthew J Lavoie | Physician Assistant | 70 Gill Ave., Pawtucket Center, Genesis Health Care, Pawtucket, RI 02861 | 2012-01-25 |
| 1356359293 | Anita N Vasvani | Dentist | 140 Newport Ave, Pawtucket, RI 02861 | 2006-08-04 |
| 1548294408 | Stop and Shop Supermarket Co LLC | Pharmacy | 368398 Cottage Street, Pawtucket, RI 02861 | 2006-07-10 |
| 1154363695 | Levis M Guzman | Internal Medicine | 139 Benefit St, Pawtucket, RI 02861 | 2006-06-11 |
| 1265938179 | Modern Eyes LLC | Optometrist | 145 Newport Ave, Pawtucket, RI 02861 | 2018-04-01 |
| 1942313929 | Abbas Ghorieshi | Dentist | 115 Newport Ave, Pawtucket, RI 02861 | 2006-08-16 |
| 1114499506 | Arts, Sports, and Technology Resource Organization | Poetry Therapist | 175 Coyle Ave, Pawtucket, RI 02861-1007 | 2018-12-22 |
| 1235600255 | Abdoulaye Soumahoro | Driver | 68 Webster St, Pawtucket, RI 02861-1016 | 2018-12-17 |
| 1376761544 | Professional Internal Medicine Associates Inc | Internal Medicine | 139 Benefit St, Pawtucket, RI 02861-1024 | 2007-04-23 |
| Find all providers in zip 02861 | ||||
| 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.