LANDMARK MEDICAL OF RHODE ISLAND PC (NPI# 1548803729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548803729 |
| Entity Type | Organization |
| Organization Name | LANDMARK MEDICAL OF RHODE ISLAND PC |
| Practice Address |
150 Chestnut St Providence RI 02903-4645 |
| Mailing Address |
7755 Center Ave Ste 630 Huntington Beach CA 92647-9152 |
| Practice Telephone | 6174205316 |
| Mailing Telephone | 6574005180 |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |
| Authorized Official Name | MICHAEL LE (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 6574005180 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
150 CHESTNUT ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903-4645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164474813 | Michelle Lynn Rowe | Nurse Practitioner | 150 Chestnut St, Providence, RI 02903-4645 | 2006-05-17 |
| 1457756488 | Ashley Mary Baldwin | Registered Nurse | 150 Chestnut St, Providence, RI 02903-4645 | 2014-11-04 |
| 1922407105 | Kaeli Sutton | Doula | 150 Chestnut St, Providence, RI 02903-4645 | 2014-08-14 |
| 1124446695 | Meagan Rich | Physician Assistant | 150 Chestnut St, Providence, RI 02903-4645 | 2014-04-02 |
| 1962843458 | Christopher Tyler | Physician Assistant | 150 Chestnut St, Providence, RI 02903-4645 | 2013-07-11 |
| 1649568643 | Eva Maria Malia | Counselor | 150 Chestnut St, 3rd Floor, Providence, RI 02903-4645 | 2011-07-12 |
| 1972801835 | Eric Youngblood Willie Mcknight | Social Worker | 150 Chestnut St, Floor 5, Providence, RI 02903-4645 | 2011-03-02 |
| 1083855761 | Laurine Verrilli | Nurse Practitioner | 150 Chestnut St, Providence, RI 02903-4645 | 2009-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326434440 | Upward Health National LLC | General Practice | 188 Valley St Ste 201, Providence, RI 02909-2468 | 2015-04-15 |
| 1306188909 | Albert Edward Dahlberg | General Practice | 185 Meeting St, Room L-254, Sfh, Brown University, Providence, RI 02912-0001 | 2013-03-21 |
| 1417982604 | Richard Lewis Rosol | General Practice | 226 Atwells Ave, Providence, RI 02903-1528 | 2006-07-12 |
| 1891322848 | Upward Health of Rhode Island PC | General Practice | 188 Valley St Ste 201, Providence, RI 02909-2468 | 2020-03-26 |
| 1871063891 | Integrated Wound Care Rhode Island Pllc | General Practice | 50 Maude St, Providence, RI 02908-4325 | 2018-12-03 |
| 1558367987 | Jorge Eusebio Albina | General Practice | 593 Eddy St, Nab 2, Providence, RI 02903-4923 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770001356 | Donald Russell Haggerty | General Practice | 246 Island Dr, Middletown, RI 02842-7509 | 2017-09-05 |
| 1528346731 | Thomas E. Mccay | General Practice | 1051 Ten Rod Rd Unit B-210, North Kingstown, RI 02852-4163 | 2011-07-22 |
| 1104134154 | Dr. Ghazi Accaoui, M.d. Inc. | General Practice | 124 Broad Street., Pawtucket, RI 02860-2052 | 2010-09-23 |
| 1912237686 | Ralph Patrick Miech | General Practice | 50 Woodcrest Dr, Riverside, RI 02915-1819 | 2010-01-02 |
| 1457588543 | Thomas James Martin | General Practice | 56 Rice St., Pawwtucket, RI 02861-1530 | 2009-06-16 |
| 1316181316 | Simon Melnick Do, Ltd | General Practice | 1050 Main St Unit 8, East Greenwich, RI 02818-3162 | 2009-04-22 |
| 1205096153 | Sheila Steiner | General Practice | 27 Carousel Drive, Riverside, RI 02915 | 2008-06-13 |
| 1679651012 | Jesus Bernal Valdepenas | General Practice | 2447 Pawtucket Avenue, East Providence, RI 02914 | 2006-11-02 |
| 1902812480 | Donald A Nadeau | General Practice | 1312 Oaklaw Ave, Midland Medical, Cranston, RI 02920 | 2006-08-01 |
| 1689688210 | Joseph Blumen | General Practice | 23 Powel Ave, Newport, RI 02840-2616 | 2006-07-28 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 02903 |
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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.