UNIVERSITY PATHOLOGISTS, LLC (NPI# 1568640886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568640886 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY PATHOLOGISTS, LLC |
| Practice Address |
825 Chalkstone Ave Rwmc - Pathology Department Providence RI 02908-4728 |
| Mailing Address |
300 Centerville Rd Summit South, Suite 215 Warwick RI 02886-0200 |
| Practice Telephone | 4014562662 |
| Practice Fax Number | 4014562663 |
| Mailing Telephone | 4019210252 |
| Mailing Fax Number | 4019215945 |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2013-11-27 |
| Authorized Official Name | ABBY L MAIZEL (MANAGING PARTNER) |
| Authorized Official Telephone | 4014562662 |
| Authorized Official Credential | MD PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZH0000X |
Pathology Specialization: Hematology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
Allopathic & Osteopathic Physicians | ||
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9784730 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780003467 | University Pathologists, LLC | Pathology | 300 Centerville Road, Summit South, Ste 215, Warwick, RI 02806-0252 | 2014-04-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | UNIVERSITY PATHOLOGISTS, LLC | 300 Centerville Road, Summit South Suite 215, Warwick, RI 02886 |
| Street Address |
825 CHALKSTONE AVE RWMC - PATHOLOGY DEPARTMENT |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02908-4728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459263 | Ritesh Rathore | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2005-07-07 |
| 1821698903 | Afsana Jahan | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-10-28 |
| 1861090508 | Anthony Joseph Paoletta | Social Worker | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-10-14 |
| 1255941720 | Georgio Medawar | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-08-08 |
| 1265042733 | Jessica Khoury | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-08-08 |
| 1215547617 | Amy Remillard | Social Worker | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-31 |
| 1225647738 | Abdallah Mohamed | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-30 |
| 1467061309 | Catherine Ekladios | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-27 |
| 1982213948 | Jamal Al Ali | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-27 |
| 1811506793 | Sadollah Ghasempour Soleymani | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771900 | Horizon Wellness | Clinic/Center | 1339 Smith St, North Providence, RI 02908 | 2017-10-12 |
| 1477098069 | Beth Perry | Nurse Practitioner | 830 Chalstone Ave., Providence, RI 02908 | 2017-01-05 |
| 1659788735 | Brandi Kimble | Podiatrist | 825 Chalkstone Avenue, Providence, RI 02908 | 2014-07-21 |
| 1912253675 | Roger Williams Medical Center | Long Term Care Hospital | 25 Chalkstone Ave, Providence, RI 02908 | 2012-07-31 |
| 1669768818 | Elisa Semedo | Physical Therapist | 285 Promenade Street, Providence, RI 02908 | 2011-06-27 |
| 1255655502 | Caregiver Homes of Rhode Island Inc. | Custodial Care Facility | 235 Promenade Street, Providence, RI 02908 | 2010-03-16 |
| 1487884987 | Professional Ambulance LLC | Ambulance | 52 River Ave, Providence, RI 02908 | 2009-07-17 |
| 1609065804 | Stephen W Davis | Family Medicine | 299 Promenade Street, Nhpri, Providence, RI 02908 | 2007-10-24 |
| 1205053899 | John R Ricci | Dentist | 1252 Smith St, Providence, RI 02908 | 2007-04-18 |
| 1871718718 | Brett C Auclaire | Nurse Practitioner | 40 Candace Street, Providence, RI 02908 | 2007-04-16 |
| Find all providers in zip 02908 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093910606 | Ricky D Grisson II | Pathology | 117 Ellenfield St Ste 101, Providence, RI 02905-4541 | 2007-06-15 |
| 1932296910 | Ariel Goldschmidt | Pathology | 48 Orms St, Providence, RI 02904-2222 | 2006-10-09 |
| 1417567751 | Yigit Baykara | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2020-08-02 |
| 1477176444 | Shaza Ben Khadra | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2020-05-25 |
| 1548883606 | Lance Van Truong | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2020-05-24 |
| 1356964936 | Fazilet Yilmaz | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2020-05-18 |
| 1558928721 | Lee Michael Cross | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2019-05-23 |
| 1336706696 | Abigail L Alexander | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2019-05-22 |
| 1548826167 | Mehran Najibi Kohnehshahri | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2019-05-20 |
| 1891351524 | Jennifer Lynn Mingrino | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2019-05-17 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02908 |
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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.