WALTER DULANY FITZHUGH III (NPI# 1518973148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518973148 |
Entity Type | Individual |
Full Name | WALTER DULANY FITZHUGH III |
Credential | M.D., M.P.H. |
Practice Address |
8 Blackstone Valley Pl Lincoln RI 02865-1145 |
Practice Telephone | 4013341830 |
Practice Fax Number | 4013341833 |
Mailing Telephone | 4013341830 |
Mailing Fax Number | 4013341833 |
Enumeration Date | 2006-08-01 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
78755 | MA | Allopathic & Osteopathic Physicians |
Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
9313 | RI | Allopathic & Osteopathic Physicians |
Street Address |
8 BLACKSTONE VALLEY PL |
City | LINCOLN |
State | RI |
Zip Code | 02865-1145 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467403097 | David Rajabiun | Social Worker | 8 Blackstone Valley Pl, 2nd Floor, Lincoln, RI 02865-1145 | 2006-05-16 |
1730299454 | Susan Gelfer Ginsberg | Clinical Nurse Specialist | 8 Blackstone Valley Pl, 2nd Floor, Lincoln, RI 02865-1145 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346749868 | Ckri Incorporated | In Home Supportive Care | 1525 Old Louisquissett Pike, C201, Lincoln, RI 02865 | 2018-02-10 |
1053824805 | Daniel Boulanger | Specialist/Technologist | 1762 Louisquisset Pike, Lincoln, RI 02865 | 2017-11-14 |
1013449677 | Daniel Gardner | Physical Therapist | 618 George Washington Hwy, Lincoln, RI 02865 | 2017-03-31 |
1801335138 | Lucille Ellen Plasse | Registered Nurse | 19 Old Great Road, Lincoln, RI 02865 | 2017-02-20 |
1558752014 | Northern Rhode Island Cognitive Behavioral Therapy Inc | Social Worker | 640 George Washington Hwy Ste 103, Lincoln, RI 02865 | 2015-02-05 |
1528313004 | Sandra Faria | Counselor | 1525 Old Louisquisset Pike Ste B104, Lincoln, RI 02865 | 2012-07-19 |
1982832671 | Deborah F Katcher-buckley | Nurse Practitioner | 2 Wake Robin Rd Unit 201, Lincoln, RI 02865 | 2009-07-01 |
1558541011 | Dawn Marie Maguire | Social Worker | 640 George Washington Hwy Ste, Bdg B, Ste 103, Lincoln, RI 02865 | 2007-11-13 |
1477675262 | Rhode Island Hospital | Internal Medicine | 701 George Washington Hwy Ste 100, Lincoln, RI 02865 | 2007-04-04 |
1083789218 | Thomas Patrick Hines | Pediatrics | 6 Blackstone Valley Place Suite 306b, Lincoln, RI 02865 | 2006-11-22 |
Find all providers in zip 02865 |
Taxonomy Code | 2084A0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Addiction Medicine |
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659868578 | Paul Gerard Organ | Psychiatry & Neurology | 801 W Prospector Pl Bldg 1, Lincoln, NE 68522-1970 | 2018-04-16 |
1194943845 | Lincoln Psychiatric Services, Inc. | Psychiatry & Neurology | 652 George Washington Hwy, Suite 400, Lincoln, RI 02865-4267 | 2007-04-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720040728 | Michael C Coburn | Psychiatry & Neurology | 1950 Tower Hill Rd, North Kingstown, RI 02852-6639 | 2006-04-05 |
1205259793 | Kevin E Baill, Md and Associates, LLC | Psychiatry & Neurology | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2014-02-04 |
1649281007 | Robert Michael Swift | Psychiatry & Neurology | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2006-08-11 |
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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.