DR. KELLY FITZGERALD COHEN (NPI# 1629509112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629509112 |
| Entity Type | Individual |
| Full Name | DR. KELLY FITZGERALD COHEN |
| Credential | M.D. |
| Practice Address |
900 Warren Ave Ste 200 East Providence RI 02914-1430 |
| Mailing Address |
10 Davol Sq Ste 400 Providence RI 02903-4760 |
| Practice Telephone | 4014216481 |
| Practice Fax Number | 4017518734 |
| Mailing Telephone | 4014214000 |
| Mailing Fax Number | 4012721456 |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2020-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD17068 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | LICENSE | MD17068 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558602730 | Kelly S Cohen | Occupational Therapist | 95 Whitesboro St Fl 1, Yorkville, NY 13495-1316 | 2013-03-12 |
| 1457958332 | Kelly Cohen | Social Worker | 2400 Pine Ave, Niagara Falls, NY 14301-2402 | 2020-10-05 |
| 1447871959 | Kelly Cohen | Optometrist | 3241 S Michigan Avenue, Chicago, IL 60616 | 2020-05-06 |
| 1154973725 | Kelly Ann Cohen | Nurse Practitioner | 902 N Dixie Fwy, New Smyrna Beach, FL 32168-6220 | 2019-07-12 |
| 1144791401 | Kelly Ann Cohen | Licensed Practical Nurse | 17 Bank Ave, Smithtown, NY 11787-2703 | 2018-12-16 |
| 1316434228 | Kelly Cohen | Speech-Language Pathologist | 2416 Elkhorn Ranch St, Parker, CO 80138-4229 | 2018-04-16 |
| 1225306590 | Kelly Cohen | Marriage & Family Therapist | 4550 Kearny Villa Rd Ste 116, San Diego, CA 92123-1583 | 2011-12-01 |
| Street Address |
900 WARREN AVE STE 200 |
| City | EAST PROVIDENCE |
| State | RI |
| Zip Code | 02914-1430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831618149 | Nicole Kenneally | Physician Assistant | 900 Warren Ave Ste 200, East Providence, RI 02914-1430 | 2017-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457988198 | Sean C. Duffy | Massage Therapist | 231 Warren Ave., East Providence, RI 02914 | 2020-03-24 |
| 1457905606 | Jeanine Le-kreuzer, Lmhc | Clinic/Center | 3421 Pawtucket Ave, East Providence, RI 02914 | 2019-07-26 |
| 1881113983 | Megan Grace Fitzpatrick | Student in an Organized Health Care Education/Training Program | 51 Milburn Rd, East Providence, RI 02914 | 2017-09-11 |
| 1265719660 | Hilary Elise Bicknell | Physical Therapist | 927 B Warren Ave, East Providence, RI 02914 | 2011-11-14 |
| 1346549037 | Amanda M Hope | Occupational Therapist | 2680 Pawtucket Ave, East Providence, RI 02914 | 2011-03-21 |
| 1780993824 | Shannon Hayes | Physical Therapist | 400 Massaoit Ave, East Providence, RI 02914 | 2010-10-06 |
| 1053623538 | Ricardo Rafael Correa Marquez | Internal Medicine | 900 Warren Avenue, Suite 300, East Providence, RI 02914 | 2010-07-13 |
| 1013231570 | Michael Seidler | Internal Medicine | 20 Catamore Blvd., East Providence, RI 02914 | 2010-03-26 |
| 1053543405 | Ray Rezania | Dentist | 1055 South Broadway, East Providence, RI 02914 | 2009-08-19 |
| 1144464587 | John F Maynard | Urology | Metacomet Office Park, 450 Veterans Parkway, East Providence, RI 02914 | 2009-04-29 |
| Find all providers in zip 02914 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205974623 | Pediatric Associates | Pediatrics | 450 Veterans Memorial Pkwy Bldg 10, East Providence, RI 02914-5300 | 2007-02-01 |
| 1346293016 | Joseph B Singer | Pediatrics | 50 Amaral Street, East Providence, RI 02915 | 2006-05-17 |
| 1447685300 | Wilson F Utter | Pediatrics | 900 Warren Ave, Suite 200, East Providence, RI 02914-1430 | 2013-09-11 |
| 1982924890 | Lauren S Ward | Pediatrics | 900 Warren Ave, Suite 200, East Providence, RI 02914-1430 | 2010-06-03 |
| 1609903996 | Daniel Paul Dickstein | Pediatrics | 1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061 | 2007-02-27 |
| 1649373598 | Stefanie Paige Aronow | Pediatrics | 900 Warren Ave, Suite 200, East Providence, RI 02914-1430 | 2006-09-06 |
| 1710999552 | Cynthia Bliss | Pediatrics | 900 Warren Ave, Suite 200, East Providence, RI 02914 | 2006-08-12 |
| 1265452254 | Jessica Pepitone | Pediatrics | 450 Veterans Memorial Pkwy, East Providence, RI 02914-5300 | 2006-07-20 |
| 1003836057 | William Turtle | Pediatrics | 450 Veterans Memorial Pkwy, Bldg. 10, East Providence, RI 02914-5300 | 2006-07-20 |
| 1669492708 | Robert Griffith Jr. | Pediatrics | 450 Veterans Memorial Pkwy, Bldg. 10, East Providence, RI 02914-5300 | 2006-07-20 |
| Find all providers in EAST PROVIDENCE | ||||
| City | EAST PROVIDENCE |
| Zip Code | 02914 |
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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.