ANDREW REGO (NPI# 1649644477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649644477 |
| Entity Type | Individual |
| Full Name | ANDREW REGO |
| Credential | PAC |
| Practice Address |
21 Peace St Providence RI 02907-1510 |
| Practice Telephone | 4013143999 |
| Mailing Telephone | 4013143999 |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA00849 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740776608 | Andrew Rego | Behavior Technician | 3271 Kehau Pl Apt D, Honolulu, HI 96816-6204 | 2018-07-03 |
| Street Address |
21 PEACE ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02907-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033103098 | Stanley John Stutz Jr. | Orthopaedic Surgery | 21 Peace St, Corporate Care, Providence, RI 02907-1510 | 2005-09-07 |
| 1083249098 | Anna Lam | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2020-03-10 |
| 1447884861 | Adam Takeo Ellenthal | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2020-02-25 |
| 1275166050 | Christopher Padhi | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2020-02-19 |
| 1770040412 | Tyler Anthony Beninati | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2019-03-01 |
| 1972060606 | Gabrielle Morgan Lieberman | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2019-02-28 |
| 1962969691 | John Anthony Power IIi | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2019-02-28 |
| 1386101541 | Victoria Anne Gill | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2019-02-25 |
| 1740772037 | Tiffany Diem Tu Ngo | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2018-06-01 |
| 1841794500 | Amrita Khemka | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2018-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518522861 | Catherine M Katzberg | Massage Therapist | Santosha Yoga Studio, 275 Reservoir Ave, Providence, RI 02907 | 2019-05-02 |
| 1104317007 | Victa LLC | Internal Medicine | 110 Elmwood Ave # A, Providence, RI 02907 | 2018-05-25 |
| 1639566987 | Southside Elementary Charter School | Local Education Agency (LEA) | 126 Somerset Street, Providence, RI 02907 | 2015-04-23 |
| 1063846558 | Achievement First Providence Mayoral Academy Charter School | Local Education Agency (LEA) | 370 Hartford Aveneue, Providence, RI 02907 | 2013-09-03 |
| 1912297425 | Reynaldo P Baduya Sr.,dmd | Clinic/Center | 252 Adelaide Avenue, Providence, RI 02907 | 2011-04-18 |
| 1821218587 | Map Behavioral Health Serv. Inc. | Community/Behavioral Health | 66 Burnett Street, Providence, RI 02907 | 2007-04-26 |
| 1548336944 | Angelica Redleaf | Chiropractor | 1196 Elmwood Avenue, Providence, RI 02907 | 2006-11-28 |
| 1174619878 | Emilio Rodriguez-peris | Internal Medicine | 655 Broad Street, Suite 201, Providence, RI 02907 | 2006-10-04 |
| 1841381555 | Maged Taman | Internal Medicine | 21 Peace Street, Providence, RI 02907 | 2006-09-27 |
| 1003924226 | Gladys V Rezendes | Psychologist | 118 Comstock Avenue, Providence, RI 02907 | 2006-08-28 |
| Find all providers in zip 02907 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922622265 | Jacob H. Sosa | Physician Assistant | 11 Amy St, Providence, RI 02906-3802 | 2020-06-02 |
| 1114541661 | Alison Ruth Dias | Physician Assistant | 164 Summit Ave Fl 3, Providence, RI 02906-2853 | 2020-06-01 |
| 1780210021 | Michael Weller | Physician Assistant | 166 Valley St Apt 6a202, Providence, RI 02909-2467 | 2020-03-18 |
| 1659915221 | Sanju Dhital | Physician Assistant | 15 Tew Pl, Providence, RI 02906-1721 | 2019-11-06 |
| 1467093823 | Alan Miller | Physician Assistant | 79 11th St, Providence, RI 02906-2911 | 2019-10-07 |
| 1134774011 | Linda Ung | Physician Assistant | 198 Wendell St, Providence, RI 02909-2129 | 2019-08-07 |
| 1346703527 | Simran Kaur Kochar | Physician Assistant | 207 Jastram St, Providence, RI 02908-2708 | 2019-04-13 |
| 1457881666 | Katelyn Mary Pires | Physician Assistant | 539 Eddy St., Providence, RI 02903 | 2017-06-20 |
| 1265556872 | Tor Clark | Physician Assistant | Brown University Health Service, Box 1928, Providence, RI 02912 | 2007-03-19 |
| 1275509408 | Sharonda Evette Keith | Physician Assistant | 593 Eddy Street, Apc-6, Lifespan Physician's Group, Dept of Neurosurgery, Providence, RI 02903 | 2006-02-27 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02907 |
Please comment or provide details below to improve the information on ANDREW REGO.
| 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.