DR. MARY CATHERINE DEROSA


Address: 148 West River Street, Suite 8, Providence, RI 02904-2609
Phone: 4016063000

DR. MARY CATHERINE DEROSA (NPI# 1649290024) 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) 1649290024
Entity Type Individual
Full Name DR. MARY CATHERINE DEROSA
Credential M.D.
Practice Address 148 West River Street
Suite 8
Providence
RI 02904-2609
Mailing Address 148 West River Street
Suite 8
Warwick
RI 02904
Practice Telephone 4016063000
Practice Fax Number 4013318110
Mailing Telephone 4016063000
Mailing Fax Number 4013318110
Enumeration Date 2006-07-20
Last Update Date 2020-01-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology MD7443 RI Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1377 S County Trl Unit 2a, East Greenwich, RI 028185082 4016064205 4016064206
101 Dudley St, Providence, RI 029052401 4016063000 4013318110
146 West River Street 3rd Floor, Providence, RI 029042609 4017935700 4017937801

Office Location

Street Address 148 WEST RIVER STREET
SUITE 8
City PROVIDENCE
State RI
Zip Code 02904-2609

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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
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235638354 Rachel Blay Obstetrics & Gynecology 112 Langdon St, Providence, RI 02904-1111 2018-02-04
1831537208 Courtney Noonan Obstetrics & Gynecology 695 Eddy St Ste 21, Providence, RI 02903-4938 2013-06-07
1801161484 Smgri, PC Obstetrics & Gynecology 10 Weybosset St, Providence, RI 02903-2818 2012-03-15
1134415029 Lindsey Beffa Obstetrics & Gynecology 101 Dudley St Fl 4, Providence, RI 02905-2401 2011-06-20
1487846648 Anh-tai Vinh Dang Obstetrics & Gynecology 18 Imperial Pl, Ste 2d, Providence, RI 02903-4641 2007-08-13
1639231673 Cassandra Leigh Carberry Obstetrics & Gynecology 101 Plain St Ste 5, Providence, RI 02903-4829 2006-12-15
1316046063 Michael Sisitsky Obstetrics & Gynecology 101 Dudley St., Women and Infants Hospital-division of Triage, Providence, RI 02905 2006-09-21
1326140120 Ob-gyn Associates Inc Obstetrics & Gynecology 1 Randall Square, Ste 205, Providence, RI 02904 2006-09-02
1750311528 Sarah Fox Obstetrics & Gynecology 148 West River Street Suite 8, Providence, RI 02904-2615 2006-07-04
1659318392 Michael David Beitle Obstetrics & Gynecology 235 Plain St Ste 101a, Providence, RI 02905-3242 2006-06-01
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City PROVIDENCE
Zip Code 02904

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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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