BETHANY S SNOW (NPI# 1528368354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528368354 |
| Entity Type | Individual |
| Full Name | BETHANY S SNOW |
| Credential | PA |
| Practice Address |
111 Brewster Street Pawtucket RI 02860-4400 |
| Mailing Address |
111 Brewster Street Wood Bldg #516 Pawtucket RI 02860-4400 |
| Practice Telephone | 4017292419 |
| Practice Fax Number | 4017292517 |
| Mailing Telephone | 4017293481 |
| Mailing Fax Number | 4017293721 |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2015-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4077 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BS84271 | 05 | |
| RI | MEDICARE PTAN | 001937701 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093815201 | Bethany Snow | Occupational Therapist | 1780 E Grand River Ave, East Lansing, MI 48823-4998 | 2006-09-25 |
| Street Address |
111 BREWSTER STREET |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854797 | Alice Yang-hee Kim | Internal Medicine | 111 Brewster Street, Pawtucket, RI 02860-4400 | 2005-07-11 |
| 1063939007 | Abraham Walusimbi | Internal Medicine | 111 Brewster Street, Pawtucket, RI 02860 | 2017-08-29 |
| 1265952576 | Ali Alkhayat | Internal Medicine | 111 Brewster Street, Pawtucket, RI 02860 | 2017-06-27 |
| 1740700780 | Melissa Ochoa-trochez | Family Medicine | 111 Brewster Street, Fcc B, Pawtucket, RI 02860 | 2017-06-21 |
| 1063883270 | Jennifer Derossi-dacosta | Registered Nurse | 111 Brewster Street, Cnemg Primary Care and Specialty Services, Pawtucket, RI 02860-4474 | 2015-10-14 |
| 1720260805 | Laura Lynnette Frakey | Clinical Neuropsychologist | 111 Brewster Street, Pawtucket, RI 02860-4400 | 2007-11-30 |
| 1740483742 | Linda Coren Hanley | Pathology | 111 Brewster Street, Department of Pathology, Pawtucket, RI 02860-4400 | 2007-06-07 |
| 1518176874 | Memorial Hospital | Family Medicine | 111 Brewster Street, Pawtucket, RI 02860 | 2007-05-22 |
| 1396954640 | Memorial Hospital | Family Medicine | 111 Brewster Street, Memorial Hospital of Rhode Island, Pawtucket, RI 02860 | 2007-05-22 |
| 1679798292 | Eric Gartman | Internal Medicine | 111 Brewster Street, Pawtucket, RI 02860 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
| 1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
| 1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
| 1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
| 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 |
| 1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
| 1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
| Find all providers in zip 02860 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
| 1790056430 | Matthew J Lavoie | Physician Assistant | 70 Gill Ave., Pawtucket Center, Genesis Health Care, Pawtucket, RI 02861 | 2012-01-25 |
| 1578588166 | Maria A Bermudez | Physician Assistant | 42 Park Place, Pawtucket, RI 02860 | 2006-07-13 |
| 1801863337 | Philip Joseph Piette | Physician Assistant | 55 Cameron St, Pawtucket, RI 02861-1713 | 2006-03-03 |
| 1215542360 | Anthony Mattiello | Physician Assistant | 174 Armistice Blvd, Pawtucket, RI 02860-3280 | 2020-09-14 |
| 1265058044 | Katherine Rose Maiorisi | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860-5299 | 2020-06-17 |
| 1083275325 | Emmie Lou Roberts | Physician Assistant | 209 Armistice Blvd, Pawtucket, RI 02860-3242 | 2019-06-26 |
| 1063934958 | Matthew Bartolotti | Physician Assistant | 39 East Ave, Pawtucket, RI 02860-4003 | 2017-07-12 |
| 1891220927 | Tierney Richardson | Physician Assistant | 174 Armistice Blvd, Pawtucket, RI 02860-3280 | 2017-04-26 |
| 1265972350 | Keith D'alton Shields | Physician Assistant | 174 Armistice Blvd, Room C, Pawtucket, RI 02860-3280 | 2017-03-08 |
| 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.