UNIVERSITY FAMILY MEDICINE (NPI# 1538474713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538474713 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY FAMILY MEDICINE |
| Practice Address |
1351 S County Trl 301 East Greenwich RI 02818-5079 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 4013980860 |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2012-10-23 |
| Authorized Official Name | KENNY HEINE (SR DIRECTOR OPS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | MD08461 | RI | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720169071 | University Family Medicine | General Acute Care Hospital | 9298 Medical Plaza Dr, Charleston, SC 29406-9125 | 2006-10-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | UNIVERSITY FAMILY MEDICINE CENTER, P.C. | 4020 Jerry Murphy Rd, Pueblo, CO 81001 |
| Street Address |
1351 S COUNTY TRL 301 |
| City | EAST GREENWICH |
| State | RI |
| Zip Code | 02818-5079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528055233 | Pamela Lauria | Nurse Practitioner | 1351 S County Trl, Suite 115, East Greenwich, RI 02818-5079 | 2005-09-29 |
| 1629699590 | Brandon Theroux | Physical Therapist | 1351 S County Trl, East Greenwich, RI 02818-5105 | 2020-05-02 |
| 1427616432 | Maia Leigh Weisenfeld | Audiologist | 1351 S County Trl, East Greenwich, RI 02818-5105 | 2019-06-04 |
| 1922530708 | Christopher Gothberg | Physical Therapist | 1351 S County Trl, Building 2, Suite 200, East Greenwich, RI 02818-5105 | 2017-03-30 |
| 1386185759 | Advanced Dermatology of Rhode Island, PC | Dermatology | 1351 S County Trl, Suite 302, East Greenwich, RI 02818-5105 | 2017-03-17 |
| 1851846174 | Rachel Timmons | Audiologist | 1351 S County Trl, Bldg 3, Suite 303, East Greenwich, RI 02818-5105 | 2016-08-16 |
| 1346619418 | Kelsey Melucci | Audiologist | 1351 S County Trl, Building 3, Suite 304, East Greenwich, RI 02818-5105 | 2015-09-18 |
| 1194120741 | Ri Rheumatology Inc. | Internal Medicine | 1351 S County Trl, Suite 302, East Greenwich, RI 02818-5105 | 2014-10-24 |
| 1033510425 | Lauren Chappell | Nurse Practitioner | 1351 S County Trl, East Greenwich, RI 02818-5105 | 2014-09-04 |
| 1407265390 | Greenwich Medical Associates Inc | Internal Medicine | 1351 S County Trl, Suite 215, East Greenwich, RI 02818-5105 | 2014-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875489 | Connor Michael Hagerty | Dentist | 61 Cedar Ave, #5, East Greenwich, RI 02818 | 2020-06-16 |
| 1467086777 | Kimberly Olson | Social Worker | 4372 Post Road, East Greenwich, RI 02818 | 2020-02-25 |
| 1154977106 | Pappas Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 1000 Division Road, Suite 100, East Greenwich, RI 02818 | 2019-08-15 |
| 1184270464 | Pappas Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 5805 Post Road, Unit 1, East Greenwich, RI 02818 | 2019-08-13 |
| 1003390428 | Liana Marie Waybright | Dietitian, Registered | East Greenwich Specialty Clinic, 1454 South County Trail, East Greenwich, RI 02818 | 2018-09-21 |
| 1053805614 | Danielle Moreau | Physical Therapist | 5750 Post Rd Ste 2a, East Greenwich, RI 02818 | 2018-06-18 |
| 1508385345 | Rhode Island Limb Co Inc | Physical Therapist | 63 Cedar Ave Unit 12, East Greenwich, RI 02818 | 2017-09-13 |
| 1407202963 | Doris Major Howie | Registered Nurse | 4512 Post Rd., East Greenwich, RI 02818 | 2016-05-13 |
| 1851648760 | Christi L Saurette | Social Worker | 3285 South County Trail, Suite 2b, East Greenwich, RI 02818 | 2012-08-09 |
| 1811257934 | Elizabeth Decker | Internal Medicine | 1407 S County Trl Ste 410, East Greenwich, RI 02818 | 2012-05-23 |
| Find all providers in zip 02818 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336493535 | Atmed Treatment Center, Inc | Non-Pharmacy Dispensing Site | 5750 Post Rd, East Greenwich, RI 02818-2139 | 2012-11-09 |
| 1336370691 | Provant Health Solutions, LLC | Non-Pharmacy Dispensing Site | 42 Ladd St, Suite 214, East Greenwich, RI 02818-4361 | 2009-08-05 |
| 1053453969 | Rhode Island Primary Care Physicians Corporation | Non-Pharmacy Dispensing Site | 2358 S County Trl, East Greenwich, RI 02818-1500 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760754923 | Richard M. Del Sesto Md Ms Ltd | Non-Pharmacy Dispensing Site | 3410 S County Trail, 303, E. Greenwich, RI 02818 | 2012-02-03 |
| 1063684900 | Atmed Treatment Center Inc | Non-Pharmacy Dispensing Site | 1524 Atmed Avenue, Suite 122, Johnston, RI 02919 | 2008-04-01 |
| 1184767022 | Coastal Medical, Inc. | Non-Pharmacy Dispensing Site | 761 Park Ave, Cranston, RI 02910-2137 | 2007-02-14 |
| 1144304783 | Physicians of Rhode Island Enterprises Incorporated | Non-Pharmacy Dispensing Site | 10 Nate Whipple Hw 101, Cumberland, RI 02864 | 2006-10-24 |
| 1932520509 | University Internal Medicine Inc | Non-Pharmacy Dispensing Site | 407 East Ave, Suite 120, Pawtucket, RI 02860-5290 | 2013-12-26 |
| 1669800967 | Bald Hill Walk In and Primary Care | Non-Pharmacy Dispensing Site | 300 Quaker Ln, Suite 16, Warwick, RI 02886-0159 | 2013-10-23 |
| 1447496617 | University Medicine Foundation Inc | Non-Pharmacy Dispensing Site | 50 Memorial Blvd, Newport, RI 02840-3636 | 2008-12-18 |
| 1538328570 | Rhode Island (r.i.) Cardiovascular Group Inc. | Non-Pharmacy Dispensing Site | 68 Cumberland St, 103, Woonsocket, RI 02895-3323 | 2008-06-05 |
| 1114124864 | Coastal Medical, Inc. | Non-Pharmacy Dispensing Site | 1075 Smith St, 2nd Floor, Providence, RI 02908-2700 | 2007-06-27 |
| 1528265212 | Coastal Medical, Inc. | Non-Pharmacy Dispensing Site | 450 Veterans Memorial Pkwy, 404, East Providence, RI 02914-5300 | 2007-06-27 |
| Find all providers with the same taxonomy | ||||
| City | EAST GREENWICH |
| Zip Code | 02818 |
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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.