HEIDI J DORRIS (NPI# 1639175482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639175482 |
| Entity Type | Individual |
| Full Name | HEIDI J DORRIS |
| Credential | M.D. |
| Practice Address |
180 Corliss St Ste B Providence RI 02904-2602 |
| Practice Telephone | 4017938400 |
| Practice Fax Number | 4017938402 |
| Mailing Telephone | 4017938400 |
| Mailing Fax Number | 4017938402 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD10153 | RI | Allopathic & Osteopathic Physicians |
| Street Address |
180 CORLISS ST STE B |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02904-2602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265438923 | Diane R Siedlecki | Internal Medicine | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2005-06-27 |
| 1093201667 | Matthew Jacob Dacosta | Physician Assistant | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2018-07-07 |
| 1922470533 | Michael Elliot Whalen | Physician Assistant | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2015-10-21 |
| 1215304837 | Jessica A Duncan | Nurse Practitioner | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2015-08-31 |
| 1326267105 | Phyllis M Choquette | Social Worker | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2007-04-24 |
| 1144285859 | Walter J Goula | Internal Medicine | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2006-04-18 |
| 1144297698 | Karen A Sclama | Physician Assistant | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2006-03-03 |
| 1104819341 | Robyn M Ostapow | Physician Assistant | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2005-08-23 |
| 1972509636 | Caroline A Troise | Internal Medicine | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2005-06-27 |
| 1659377315 | Robert S Mathieu | Internal Medicine | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2005-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1871115147 | James Lewis Scharfen | Internal Medicine | 593 Eddy St Rm 126, Providence, RI 02903-4923 | 2020-05-10 |
| 1083271241 | Perry Mayo-malasky | Internal Medicine | 201 Angell St Apt 7, Providence, RI 02906-1236 | 2019-05-23 |
| 1871084509 | Jaclyn Mckenna | Internal Medicine | Rhode Island Hospital 593 Eddy Street, Providence, RI 02903 | 2018-05-29 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1952824831 | Isabelle Malhame | Internal Medicine | 101 Dudley St # 3352, Providence, RI 02905-2401 | 2017-07-21 |
| 1669854634 | Lissy Hu | Internal Medicine | 150 Union St, Providence, RI 02903-1790 | 2015-06-25 |
| 1154718161 | Parvati Singh | Internal Medicine | 164 Summit Ave Ste 221, Providence, RI 02906-2894 | 2015-04-17 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1831459874 | Ryan Steven Hirschfeld | Internal Medicine | 27 Dryden Ln Ste 100, Providence, RI 02904-2782 | 2012-05-24 |
| 1114286739 | Robert Clyde Heffron | Internal Medicine | 25 Emeline St, Providence, RI 02906-3305 | 2012-05-16 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02904 |
Please comment or provide details below to improve the information on HEIDI J DORRIS.
| 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.