THEODORE C. PALUMBO (NPI# 1578634812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578634812 |
| Entity Type | Individual |
| Full Name | THEODORE C. PALUMBO |
| Credential | MD |
| Practice Address |
33 Staniford St Providence RI 02905-3105 |
| Practice Telephone | 4014218800 |
| Practice Fax Number | 4012736510 |
| Mailing Telephone | 4014218800 |
| Mailing Fax Number | 4012736510 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2008-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
8962 | RI | Allopathic & Osteopathic Physicians |
| Street Address |
33 STANIFORD ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720085657 | Bayside Endoscopy Center, LLC | Clinic/Center | 33 Staniford St, Providence, RI 02905-3105 | 2005-07-07 |
| 1790295285 | Lea Rene Kelly | Nurse Practitioner | 33 Staniford St, Providence, RI 02905-3105 | 2017-10-10 |
| 1679976187 | Bridget Boyle Fitzgibbon | Nurse Practitioner | 33 Staniford St, Providence, RI 02905-3105 | 2014-09-29 |
| 1386952612 | University Gastroenterology, LLC | Pathology | 33 Staniford St, Providence, RI 02905 | 2010-09-21 |
| 1306079843 | Leslie Cashel Md Inc | Internal Medicine | 33 Staniford St, Providence, RI 02905-3105 | 2009-09-01 |
| 1679711519 | William T. Chen Medical, Inc. | Internal Medicine | 33 Staniford St, Providence, RI 02905-3105 | 2009-01-30 |
| 1104064047 | Leslie Cashel M.d., Inc. | Internal Medicine | 33 Staniford St, Providence, RI 02905-3105 | 2009-01-30 |
| 1215175351 | Eric Newton Md LLC | Internal Medicine | 33 Staniford St, Providence, RI 02905-3105 | 2009-01-28 |
| 1437324530 | Edward A. Pensa Medical Inc. | Internal Medicine | 33 Staniford St, Providence, RI 02905-3105 | 2008-04-29 |
| 1952430019 | Eric B. Newton | Internal Medicine | 33 Staniford St, Providence, RI 02905-3105 | 2007-03-05 |
| Find all providers in the same location | ||||
| 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 Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023471695 | Jaehoon Cho | Internal Medicine | 593 Eddy St Ste 240, Providence, RI 02903-4923 | 2016-04-01 |
| 1194952929 | Jason Ferreira | Internal Medicine | 148 W River St Ste 3, Providence, RI 02904-2615 | 2009-06-19 |
| 1548437395 | Diana Ying Wu | Internal Medicine | 100 Dudley St, Providence, RI 02905-3233 | 2008-05-12 |
| 1366537425 | William Chen, Md, LLC | Internal Medicine | 3 Staniford Street, Providence, RI 02905 | 2006-10-04 |
| 1376637710 | Cashel Associates | Internal Medicine | 33 Staniford Street, Providence, RI 02905 | 2006-10-02 |
| 1093723546 | Gastroenterology Associates Inc | Internal Medicine | 44 West River Street, Providence, RI 02904 | 2006-08-03 |
| 1154375350 | Gyorgy Baffy | Internal Medicine | 110 Lockwood St, Suite 116, Providence, RI 02903-4801 | 2006-05-20 |
| 1508217944 | Amporn Atsawarungruangkit | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2016-06-27 |
| 1063807717 | May Min | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2015-03-31 |
| 1619210630 | Shannon Simmons | Internal Medicine | 593 Eddy St, Apc 406, Providence, RI 02903-4923 | 2013-03-27 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
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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.