PROVIDENT PAIN AND WELLNESS CLINIC (NPI# 1639404635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639404635 |
| Entity Type | Organization |
| Organization Name | PROVIDENT PAIN AND WELLNESS CLINIC |
| Practice Address |
19 Friendship St Suite 160 Newport RI 02840-2200 |
| Mailing Address |
75 Newman Ave Suite 100 Rumford RI 02916-3603 |
| Practice Telephone | 4014997771 |
| Mailing Telephone | 4014530666 |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2011-03-28 |
| Authorized Official Name | RAUL A MASING (OWNER) |
| Authorized Official Telephone | 4014997771 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 10503 | RI | Allopathic & Osteopathic Physicians |
| N | 225100000X | Physical Therapist | PT01902 | RI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
10503 | RI | Allopathic & Osteopathic Physicians |
| Street Address |
19 FRIENDSHIP ST SUITE 160 |
| City | NEWPORT |
| State | RI |
| Zip Code | 02840-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146562 | William D. Levin | Family Medicine | 19 Friendship St, Suite 130, Newport, RI 02840-2200 | 2005-07-01 |
| 1730625807 | Kathryn Ann Mitchell | Physician Assistant | 19 Friendship St, Suite 130, Newport, RI 02840-2272 | 2017-01-13 |
| 1649662107 | Jana Paige Magarian | Nurse Practitioner | 19 Friendship St, Newport, RI 02840-2272 | 2015-02-20 |
| 1821416637 | Preston W Douglas | Psychiatry & Neurology | 19 Friendship St, Newport, RI 02840-2272 | 2014-03-31 |
| 1487911582 | Wei Song | Psychiatry & Neurology | 19 Friendship St, Newport, RI 02840-2272 | 2012-04-13 |
| 1548549900 | Spinal Therapeutics, LLC | Clinic/Center | 19 Friendship St, Ste G50, Newport, RI 02840-2200 | 2011-08-16 |
| 1073833257 | James Studders | Specialist | 19 Friendship St, Newport, RI 02840-2200 | 2010-06-10 |
| 1225364284 | Rachel Del Rosario | Physical Therapist | 19 Friendship St, Suite 160, Newport, RI 02840-2200 | 2009-10-27 |
| 1508011420 | Gay B. Ben Tre | Registered Nurse | 19 Friendship St, Suite 300, Newport, RI 02840-2200 | 2008-11-19 |
| 1588863609 | Kenneth Rosenthal | Social Worker | 19 Friendship St, #240, Newport, RI 02840-2200 | 2007-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993465 | Jacquelene Henderson | Counselor | 1341 West Main Road, Suite 16, Newport, RI 02840 | 2018-12-12 |
| 1619406683 | Lauren A Mcgovern | Social Worker | 8 Freebody St Ste 101, Newport, RI 02840 | 2017-06-05 |
| 1922388289 | Newport Family Foot Care, LLC | Podiatrist | 329 Broadway, Newport, RI 02840 | 2011-08-18 |
| 1578867255 | Nora K Griscom | Social Worker | 130 Bellevue Ave Ste 214, Newport, RI 02840 | 2011-01-10 |
| 1528200326 | Jessica Marie Welsh | Speech-Language Pathologist | 10 Friendship Street, Newport, RI 02840 | 2009-03-25 |
| 1023139037 | Elizabeth J Hayes | Counselor | Codac Inc, 93 Thames St, Newport, RI 02840 | 2007-04-03 |
| 1265551105 | Richatd Stengel | Dentist | East Bay Community Action Program, 19 Broadway, Newport, RI 02840 | 2007-03-29 |
| 1235262346 | Jon E Brett | Psychologist | 37 Powel Avenue, Newport, RI 02840 | 2007-03-14 |
| 1710018668 | James L Maher Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 120 Hillside Ave, Newport, RI 02840 | 2007-03-09 |
| 1285760736 | John Louis Salomone | Dentist | 73 Memorial Blvd, Newport, RI 02840 | 2007-02-26 |
| Find all providers in zip 02840 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063632180 | Newport Hospital | Physical Medicine & Rehabilitation | 11 Friendship St, Newport, RI 02840-2209 | 2007-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710313945 | Ocean State Wellness Center, PC | Physical Medicine & Rehabilitation | 176 Cass Ave, Woonsocket, RI 02895-4712 | 2013-09-19 |
| 1811039449 | Ocean State Pain Management PC | Physical Medicine & Rehabilitation | 219 Cass Ave, Suite B, Woonsocket, RI 02895-4741 | 2007-02-12 |
| 1275633547 | Todd E. Handel, Inc | Physical Medicine & Rehabilitation | 100 Highland Ave, Providence, RI 02906-2740 | 2006-09-25 |
| 1861592156 | Alexios George Carayannopoulos | Physical Medicine & Rehabilitation | 593 Eddy St, Providence, RI 02903-4923 | 2006-09-25 |
| 1518067883 | Todd Evan Handel | Physical Medicine & Rehabilitation | 1145 Main St, Pawtucket, RI 02860-4807 | 2006-09-25 |
| 1558478032 | John Robert Parziale | Physical Medicine & Rehabilitation | 450 Veterans Memorial Pkwy, Building 12, East Providence, RI 02914-5300 | 2006-08-23 |
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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.