JOHN A STOUKIDES


Address: 1018 Waterman Ave, East Providence, RI 02914
Phone: 4012310450

JOHN A STOUKIDES (NPI# 1639176357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639176357
Entity Type Individual
Full Name JOHN A STOUKIDES
Credential MD
Practice Address 1018 Waterman Ave
East Providence
RI 02914
Practice Telephone 4012310450
Practice Fax Number 4012332387
Mailing Telephone 4012310450
Mailing Fax Number 4012332387
Enumeration Date 2005-07-07
Last Update Date 2019-01-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
MD07851 RI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RI 7001413 05

Office Location

Street Address 1018 WATERMAN AVE
City EAST PROVIDENCE
State RI
Zip Code 02914

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336140797 Thomas E Mcgue Family Medicine 43 Smith Rd, Newport, RI 02841-1006 2005-08-09
1770580458 Cynthia L Holzer Family Medicine 27 Pilgrim Pkwy, Warwick, RI 02888-4120 2005-07-07
1659882504 Encompass Pediatrics, LLC. Family Medicine 126 Prospect St Ste 202, Pawtucket, RI 02860 2017-10-18
1497948566 Tsewang Gyurmey Family Medicine 225 Chapman St, Providence, RI 02905-4533 2007-08-22
1982803359 Nadia Mujahid Family Medicine 375 Wampanoag Trl, Suite 102, Riverside, RI 02915-2212 2007-07-16
1811910334 Alfred A Arcand Family Medicine 1079 Main St, Suite A, West Warwick, RI 02893-3715 2006-07-25
1962439786 Syed R Mehdi Family Medicine 450 Clinton Street, Thundermist Health Center, Woonsocket, RI 02895 2006-06-27
1336189406 John B Murphy Family Medicine 407 East Ave, Suite 110, Pawtucket, RI 02860-5299 2006-06-07
1598721656 Lisa B Bob Family Medicine 407 East Ave, Suite 110, Pawtucket, RI 02860-5290 2006-04-26
1447224191 Stefan Gravenstein Family Medicine 593 Eddy St, Providence, RI 02903 2006-02-16
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Competitor

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City EAST PROVIDENCE
Zip Code 02914

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Dataset Information

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.

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