BRAIN & SPINE NEUROSURGICAL INSTITUTE, LLC (NPI# 1558304212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558304212 |
| Entity Type | Organization |
| Organization Name | BRAIN & SPINE NEUROSURGICAL INSTITUTE, LLC |
| Practice Address |
1526 Atwood Avenue Suite 200 Johnston RI 02919 |
| Mailing Address |
25 Thurber Blvd Unit 6 Smithfield RI 02917-1816 |
| Practice Telephone | 4012705395 |
| Practice Fax Number | 4012707635 |
| Mailing Telephone | 4014042975 |
| Mailing Fax Number | 4044042976 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2019-04-18 |
| Authorized Official Name | DR. SUMIT KUMAR DAS (PRESIDENT) |
| Authorized Official Telephone | 4012705395 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | SD50629 | 05 |
| Street Address |
1526 ATWOOD AVENUE SUITE 200 |
| City | JOHNSTON |
| State | RI |
| Zip Code | 02919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659935757 | Cheryl K. D'itri | Massage Therapist | 2051 Plainfield Pike, Johnston, RI 02919 | 2019-04-24 |
| 1013401124 | Cigna Onsite Health LLC | Clinic/Center | 735 Greenville Ave, Bldg D, Johnston, RI 02919 | 2018-06-21 |
| 1659862803 | Michaele Marie Colizza | Massage Therapist | 1524 Atwood Ave Ste 213, Johnston, RI 02919 | 2018-05-23 |
| 1609396613 | Peter Dionisopoulos | Physical Therapist | 12 Industrial Ln, Johnston, RI 02919 | 2017-06-21 |
| 1306382932 | Marcie E Diorio | Social Worker | 1126 Hartford Avenue Tri-county Community Action Agency, Johnston, RI 02919 | 2017-01-06 |
| 1467735720 | Robert Tortolani | Pharmacist | 1387 Plaindield St., Johnston, RI 02919 | 2011-09-23 |
| 1518288075 | Vito F. Ferri | Internal Medicine | 1539 Atwood Ave., Suite 101, Johnston, RI 02919 | 2010-06-18 |
| 1497073894 | Usv Optical Inc. | Technician/Technologist | 200 Stone Hill Drive, Johnston, RI 02919 | 2010-05-10 |
| 1922239995 | Heidi C. O'grady | Physical Therapist | 1529 Atwood Avenue, Suite 202, Johnston, TX 02919 | 2009-08-07 |
| 1184855397 | Holly Batura | Counselor | 1516 Hartford Avenue, Johnston, RI 02919 | 2009-08-05 |
| Find all providers in zip 02919 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619375474 | Norman David Peters | Neurological Surgery | 30 Winsor Rd, N Scituate, RI 02857-1172 | 2014-12-10 |
| 1407199631 | Zain Boghani | Neurological Surgery | 593 Eddy Street Apc 6, Apc 6, Providence, RI 02903-4923 | 2013-04-06 |
| 1114169406 | Petra Margarete Klinge | Neurological Surgery | 55 Claverick Street, Providence, RI 02903 | 2009-04-01 |
| 1770619165 | Wael F. Asaad | Neurological Surgery | 593 Eddy St Fl 6, Rih Department of Neurosurgery, Providence, RI 02903-4923 | 2007-02-27 |
| 1831176445 | Curtis Doberstein | Neurological Surgery | 1 Davol Sq, Providence, RI 02903-4755 | 2005-12-23 |
| 1932186632 | John Allison Duncan IIi | Neurological Surgery | 5 Spindrift Way, Barrington, RI 02806-5034 | 2005-12-23 |
| 1770560435 | Adetokunbo Adegboyega Oyelese | Neurological Surgery | 55 Claverick St, Providence, RI 02903-4144 | 2005-12-23 |
| 1477538411 | Stephen Clayton Saris | Neurological Surgery | 3 Davol Square, Suite B200, Providence, RI 02903-4762 | 2005-12-13 |
| 1124002019 | Toussaint Andre Leclercq | Neurological Surgery | 124 Grandview Ave, Lincoln, RI 02865-2905 | 2005-12-03 |
| 1548897523 | Joshua Richard Feler | Neurological Surgery | 593 Eddy St, Providence, RI 02903-4923 | 2020-03-27 |
| Find all providers with the same taxonomy | ||||
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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.