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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
MD07851 | RI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | 7001413 | 05 |
Street Address |
1018 WATERMAN AVE |
City | EAST PROVIDENCE |
State | RI |
Zip Code | 02914 |
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 | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
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. |
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 |
Find all providers with the same taxonomy |
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.