SILVER SPRING HEATH CARE MANAGEMENT, INC (NPI# 1528152691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528152691 |
| Entity Type | Organization |
| Organization Name | SILVER SPRING HEATH CARE MANAGEMENT, INC |
| Other Organization Name | SOUTH COUNTY EKG GROUP |
| Practice Address |
100 Kenyon Ave Wakefield RI 02879-4216 |
| Mailing Address |
Po Box 229 Wakefield RI 02880-0229 |
| Practice Telephone | 4017828000 |
| Mailing Telephone | 4017888757 |
| Mailing Fax Number | 4017829867 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | MARCIA T POLHEMUS (CONTROLLER) |
| Authorized Official Telephone | 4017881974 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SCMG EKG Readers | Doing Business As Name - Organization |
| South County EKG Group | Other Name - Individual/Organization |
| Street Address |
100 KENYON AVE |
| City | WAKEFIELD |
| State | RI |
| Zip Code | 02879-4216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285618009 | Kimberly Ann Cox | Anesthesiology | 100 Kenyon Ave, Wakefield, RI 02879-4216 | 2005-12-05 |
| 1639786619 | Holly B. Fuscaldo | Social Worker | 100 Kenyon Ave, Wakefield, RI 02879 | 2020-09-24 |
| 1851900286 | Silver Spring Health Care Management, Inc | Radiology | 100 Kenyon Ave, Wakefield, RI 02879-4216 | 2020-07-31 |
| 1003442476 | Michaella Elizabeth Marzullo | Physician Assistant | 100 Kenyon Ave, Wakefield, RI 02879-4299 | 2020-03-18 |
| 1023669264 | Mollie Jean Garrison | Nurse Practitioner | 100 Kenyon Ave, Wakefield, RI 02879-4216 | 2019-09-27 |
| 1972163137 | Stephanie Maggs | Nurse Practitioner | 100 Kenyon Ave, Wakefield, RI 02879-4216 | 2019-06-19 |
| 1346730280 | Silver Spring Health Care Management, Inc | Nurse Practitioner | 100 Kenyon Ave, Wakefield, RI 02879-4216 | 2018-05-16 |
| 1013421858 | Cassandra Tibbits | Social Worker | 100 Kenyon Ave, Wakefield, RI 02879-4216 | 2017-11-30 |
| 1568975266 | Emily Kay Fails | Nurse Practitioner | 100 Kenyon Ave, Wakefield, RI 02879 | 2017-11-16 |
| 1992224497 | Silver Spring Health Care Management, Inc. | Nurse Practitioner | 100 Kenyon Ave, Wakefield, RI 02879-4216 | 2017-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831549435 | Bh Brightview Commons Opco, LLC | Alzheimer Center (Dementia Center) | 57 Grandeville Court, Wakefield, RI 02879 | 2016-06-15 |
| 1215392071 | Leslie Healy | Occupational Therapist | 12 Galleon Ct, Wakefield, RI 02879 | 2015-12-22 |
| 1649673799 | Peter Storti | Clinic/Center | 28 Columbia Street, Wakefield, RI 02879 | 2014-10-03 |
| 1285988790 | Silver Spring Health Care Management, Inc. | Physician Assistant | 70 Kenyon Ave Unit 321, Wakefield, RI 02879 | 2012-11-06 |
| 1013271584 | Amy Lee Barker | Speech-Language Pathologist | 213 Robinson Street, Wakefield, RI 02879 | 2012-06-29 |
| 1366708489 | Paige Houlihan | Student in an Organized Health Care Education/Training Program | 91 Rocky Brook Way St, Wakefield, RI 02879 | 2012-04-03 |
| 1639307176 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53 Dockray Street, Wakefield, RI 02879 | 2009-06-23 |
| 1649482233 | Marilyn A. Cooney | Speech-Language Pathologist | 307 Curtis Corner Road, Wakefield, RI 02879 | 2007-05-04 |
| 1518184522 | Keeley Therese Dante-card | Registered Nurse | 55 Cherry Lane, Wakefield, RI 02879 | 2007-04-19 |
| 1679799217 | Codac Inc | Peer Specialist | 350 Columbia St, Codac South County, Wakefield, RI 02879 | 2007-04-18 |
| Find all providers in zip 02879 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700809316 | Thomas J. Keenan | Internal Medicine | 946 Tuckertown Rd # F, Wakefield, RI 02879-2732 | 2006-07-25 |
| 1831364538 | South County Hospital Dba Silver Springs Healthcare Management | Internal Medicine | 100 Kenyon Ave, Wakefield, RI 02879-4216 | 2008-04-24 |
| 1063638096 | Aaron Weisbord | Internal Medicine | 70 Kenyon Ave, Suite 321, Wakefield, RI 02879-4239 | 2007-04-18 |
| 1316976780 | Neil Brandon | Internal Medicine | 70 Kenyon Ave, Suite 321, Wakefield, RI 02879-4239 | 2006-06-30 |
| 1396771937 | Steven Raymond Fera | Internal Medicine | 70 Kenyon Ave, Suite 321, Wakefield, RI 02879-4239 | 2006-06-24 |
| 1710913868 | David Scott Bader | Internal Medicine | 70 Kenyon Ave, Suite 321, Wakefield, RI 02879-4239 | 2006-06-23 |
| 1083652408 | David J Broza | Internal Medicine | 70 Kenyon Ave, Suite 321, Wakefield, RI 02879-4239 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336381904 | Michael Wu | Internal Medicine | 950 Warren Ave Ste 201, East Providence, RI 02914-1432 | 2009-03-29 |
| 1902052558 | T.w. Tschirley Md Inc | Internal Medicine | 1524 Atwood Ave Ste 434, Johnston, RI 02919-3228 | 2008-08-14 |
| 1427210251 | John Rodriguez | Internal Medicine | 68 Cumberland St Ste 103, Woonsocket, RI 02895 | 2008-07-02 |
| 1689836371 | Katharine A. French | Internal Medicine | 950 Warren Ave Fl 2, East Providence, RI 02914-1432 | 2008-06-25 |
| 1265621460 | Gideon Koren | Internal Medicine | Rih, 1 Hoppin Street, Providence, RI 02903 | 2007-10-24 |
| 1134315567 | David B Pomfret | Internal Medicine | 20 Grey Gull Rd, Jamestown, RI 02835-2808 | 2007-09-19 |
| 1679792865 | Kenneth Baxter Nanian | Internal Medicine | 201 Tanglewood Dr, East Greenwich, RI 02818-2215 | 2007-04-25 |
| 1417085622 | Laboratorio Cardiovascular De P.r. | Internal Medicine | 391 Sargento Luis Medina Street, La Merced, San Juan, RI 00918 | 2007-03-01 |
| 1003921693 | Mario Tami | Internal Medicine | 1264 Smith St, Providence, RI 02908 | 2006-08-21 |
| 1205942646 | David J Fortunato | Internal Medicine | 75 S Union St, Unit 406, Pawtucket, RI 02860-3978 | 2006-08-21 |
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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.