PHYSICIAN ASSIST LLC (NPI# 1669702569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669702569 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN ASSIST LLC |
| Practice Address |
35 Broad Rock Rd Wakefield RI 02879-1872 |
| Practice Telephone | 4012654553 |
| Mailing Telephone | 4012654553 |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2009-12-28 |
| Authorized Official Name | MR. MICHAEL JOHN COBB (OWNER) |
| Authorized Official Telephone | 4012654553 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA00255 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
35 BROAD ROCK RD |
| City | WAKEFIELD |
| State | RI |
| Zip Code | 02879-1872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831549435 | Bh Brightview Commons Opco, LLC | Alzheimer Center (Dementia Center) | 57 Grandeville Court, Wakefield, RI 02879 | 2016-06-15 |
| 1215392071 | Leslie Healy | Occupational Therapist | 12 Galleon Ct, Wakefield, RI 02879 | 2015-12-22 |
| 1649673799 | Peter Storti | Clinic/Center | 28 Columbia Street, Wakefield, RI 02879 | 2014-10-03 |
| 1285988790 | Silver Spring Health Care Management, Inc. | Physician Assistant | 70 Kenyon Ave Unit 321, Wakefield, RI 02879 | 2012-11-06 |
| 1013271584 | Amy Lee Barker | Speech-Language Pathologist | 213 Robinson Street, Wakefield, RI 02879 | 2012-06-29 |
| 1366708489 | Paige Houlihan | Student in an Organized Health Care Education/Training Program | 91 Rocky Brook Way St, Wakefield, RI 02879 | 2012-04-03 |
| 1639307176 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53 Dockray Street, Wakefield, RI 02879 | 2009-06-23 |
| 1649482233 | Marilyn A. Cooney | Speech-Language Pathologist | 307 Curtis Corner Road, Wakefield, RI 02879 | 2007-05-04 |
| 1518184522 | Keeley Therese Dante-card | Registered Nurse | 55 Cherry Lane, Wakefield, RI 02879 | 2007-04-19 |
| 1679799217 | Codac Inc | Peer Specialist | 350 Columbia St, Codac South County, Wakefield, RI 02879 | 2007-04-18 |
| Find all providers in zip 02879 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477052256 | Silver Spring Health Care Management, Inc. | Physician Assistant | 70 Kenyon Ave Unit 324, Wakefield, RI 02879 | 2018-02-07 |
| 1154788388 | Erin Marie Smith | Physician Assistant | 1 High St, Wakefield, RI 02879-3103 | 2016-01-19 |
| 1841668910 | Jarred Trouve | Physician Assistant | 1 High St, Wakefield, RI 02879-3103 | 2015-09-08 |
| 1740603463 | Katherine Gwozdz | Physician Assistant | 1 High St, Wakefield, RI 02879-3103 | 2014-01-31 |
| 1164761003 | Lindsay M Fink | Physician Assistant | 1 High St, Wakefield, RI 02879-3103 | 2013-02-13 |
| 1558649822 | Stacie J Brzoska | Physician Assistant | 1 High St, Wakefield, RI 02879-3103 | 2011-08-03 |
| 1962436618 | Melissa T Langer | Physician Assistant | 1 High St, Wakefield, RI 02879-3103 | 2006-07-10 |
| 1750345146 | John W Rodger | Physician Assistant | 1 High St, Wakefield, RI 02879-3103 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578079422 | Daniella Ann Lennon | Physician Assistant | 1407 S County Trl Bldg 42nd, East Greenwich, RI 02818-1652 | 2017-12-14 |
| 1831580661 | Ani Zabelle Megerdichian | Physician Assistant | 41 Crocus Dr, Cranston, RI 02920-5801 | 2015-02-16 |
| 1558991737 | Chloe Hawkridge Sienkewicz | Physician Assistant | 1 Kettle Point Ave, East Providence, RI 02914-5375 | 2020-01-16 |
| 1356900591 | Ryan O'kelly | Physician Assistant | 285 Promenade St, Providence, RI 02908 | 2019-06-11 |
| 1558841999 | Lindsey Scherer | Physician Assistant | 825 Chalkstone Ave, Providence, RI 02908 | 2018-08-15 |
| 1134658339 | Kevin P Santilli | Physician Assistant | 593 Eddy St, Providence, RI 02903-4923 | 2017-06-09 |
| 1194260984 | Brittany Hogan | Physician Assistant | 593 Eddy St, 6th Floor, Providence, RI 02903-4923 | 2017-01-03 |
| 1780139626 | Bradley Hunt | Physician Assistant | 111 Brewster St, Surgery Department, Pawtucket, RI 02860-4474 | 2016-08-21 |
| 1225430820 | Armenag Antranigian | Physician Assistant | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2014-09-25 |
| 1538595699 | James Joseph Deady | Physician Assistant | 111 Brewster St, Pawtucket, RI 02860-4474 | 2013-09-20 |
| Find all providers with the same taxonomy | ||||
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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.