DR. YOASH R ENZER


Address: 120 Dudley St, Suite 104, Providence, RI 02905-2436
Phone: 4012744464

DR. YOASH R ENZER (NPI# 1538154703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538154703
Entity Type Individual
Full Name DR. YOASH R ENZER
Credential M.D.
Practice Address 120 Dudley St
Suite 104
Providence
RI 02905-2436
Practice Telephone 4012744464
Practice Fax Number 4018310710
Mailing Telephone 4012744464
Mailing Fax Number 4018310710
Enumeration Date 2005-09-14
Last Update Date 2009-07-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 7280 RI Allopathic & Osteopathic Physicians
N 2082S0099X Plastic Surgery
Specialization: Plastic Surgery Within the Head and Neck
7280 RI Allopathic & Osteopathic Physicians
N 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
7280 RI Allopathic & Osteopathic Physicians

Office Location

Street Address 120 DUDLEY ST
SUITE 104
City PROVIDENCE
State RI
Zip Code 02905-2436

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538693023 Donna O'neil Ophthalmology 120 Dudley St, Suite 104, Providence, RI 02905-2436 2017-04-12
1316114820 Kathleen Fizgerald, Md Obstetrics & Gynecology 120 Dudley St, Suite 305, Providence, RI 02905-2436 2008-05-14
1548442338 Philip R Rizzuto, Md Ltd Ophthalmology 120 Dudley St, Suite 301, Providence, RI 02905-2436 2007-12-04
1023290939 Michael E. Migliori, Md Facs, Ltd Ophthalmology 120 Dudley St, Suite 301, Providence, RI 02905-2436 2007-12-03
1861694069 Robert H. Janigian Jr. Md LLC Ophthalmology 120 Dudley St, Suite 303, Providence, RI 02905-2436 2007-06-01
1770689002 Chad P. Nevola, Md, Inc. Pediatrics 120 Dudley St, Suite 105, Providence, RI 02905-2436 2006-09-15
1033130224 Mary Ann C Passero Allergy & Immunology 120 Dudley St, Suite 203, Providence, RI 02905-2436 2006-07-22
1881614907 Kathleen Fitzgerald Obstetrics & Gynecology 120 Dudley St, Providence, RI 02905-2436 2006-07-20
1366428120 Richard G Bryan Ophthalmology 120 Dudley St, Suite 303, Providence, RI 02905-2436 2005-12-22
1689657306 Prakash Sampath Neurological Surgery 120 Dudley St, Providence, RI 02905-2436 2005-11-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477100808 Raisa Emilia Garcia-diaz Counselor 66 Pavilion Avenue, Providence, RI 02905 2019-08-21
1962976571 Nike A. Kendall Social Worker Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 2019-01-16
1891265443 Carolyn Te Young Pathology 1320 Narragansett Blvd, Cranston, RI 02905 2018-11-27
1417427071 Julianne Elizabeth Houtchens Dietitian, Registered Adult Primary Care 245 Chapman Street, Providence, RI 02905 2018-11-27
1922577394 Dilenia C Cruz Health Educator 335r Prairie Ave., Suite 2b, Providence, RI 02905 2018-11-15
1639653116 Varina S. Gunn Health Educator 335r Prarie Ave., Suite 2b, Providence, RI 02905 2018-09-20
1427590421 Cardea Healthcare LLC In Home Supportive Care 100 Pavilion Avenue, Suite 101, Providence, RI 02905 2016-11-08
1265884597 Maxwell King Physical Therapy Assistant 48 Moorland Avenue, Cranston, RI 02905 2016-07-11
1346698024 Samantha Lea Colli Physician Assistant 100 Dudley St Fl 3, Providence, RI 02905 2016-06-02
1346697448 Amy Jean Simpson Marriage & Family Therapist 1981 Broad Street, Cranston, RI 02905 2016-05-18
Find all providers in zip 02905

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316265259 Melissa Ann Simon Ophthalmology 2 Dudley St Ste 505, Providence, RI 02905-3249 2010-05-16
1023268018 Irene M Lee Md PC Ophthalmology 903 Providence Pl, Apartment 362, Providence, RI 02903-7000 2008-09-25
1548426661 Nicholas Dushku Ophthalmology 338 Choke Cherry Ln, Providence, UT 84332-9513 2008-07-29
1174670806 King Wai To Ophthalmology One Hoppin Street, Suite 202, Providence, RI 02903-4141 2007-01-04
1659310738 Andrew Ginn Bong Young Ophthalmology 1 Hoppin St Ste 202, Providence, RI 02903-4141 2006-06-05
1710950142 Philip R Rizzuto Ophthalmology 120 Dudly St, Suite 301, Providence, RI 02905 2006-02-08
1972589745 Robert Jeffrey Hofmann Ophthalmology 150 East Manning St., Providence, RI 02906 2005-12-22
1033109111 Jason Edward Karo Ophthalmology 150 E Manning St, Providence, RI 02906-5109 2005-10-28
1467458331 Paul B Greenberg Ophthalmology One Randall Square, Suite 203, Providence, RI 02904-4928 2005-06-24
1538165659 Caldwell Withers Smith Ophthalmology 690 Eddy St, Providence, RI 02903-4928 2005-06-23
Find all providers in PROVIDENCE

Competitor

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City PROVIDENCE
Zip Code 02905

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Dataset Information

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.

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