TANYA J. BECKER MD, INC. (NPI# 1669819827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669819827 |
| Entity Type | Organization |
| Organization Name | TANYA J. BECKER MD, INC. |
| Practice Address |
59 Prospect St Suite C Pawtucket RI 02860-4482 |
| Practice Telephone | 4017289206 |
| Practice Fax Number | 4017226960 |
| Mailing Telephone | 4017289206 |
| Mailing Fax Number | 4017226960 |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-05-29 |
| Authorized Official Name | TANYA JEAN BECKER (OWNER/PRESIDENT) |
| Authorized Official Telephone | 4017289206 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD10708 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | NHP | 275263078A | 01 |
| RI | CIGNA | 963015 | 01 |
| RI | TB55273 | 05 | |
| RI | BCBS | 29029-4 | 01 |
| RI | UHC | 543748627 | 01 |
| RI | TRICARE | 2011993783 | 01 |
| RI | FIRST HEALTH | 2033621 | 01 |
| RI | HP | AA26320 | 01 |
| Street Address |
59 PROSPECT ST SUITE C |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-4482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619224789 | Rhode Island Limb Co Inc | Prosthetic/Orthotic Supplier | 59 Prospect St, Suite B, Pawtucket, RI 02860-4482 | 2012-08-08 |
| 1952844862 | Stephanie Carper | Nurse Practitioner | 59 Prospect St, Pawtucket, RI 02860-4482 | 2016-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
| 1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
| 1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
| 1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
| 1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
| 1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
| 1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
| 1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
| Find all providers in zip 02860 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497739304 | Louise S. Kiessling | Pediatrics | 555 Prospect St, Department of Neurodevelopmental, Pawtucket, RI 02860-6200 | 2005-12-05 |
| 1609286459 | Cameron Elizabeth Walker Lang | Pediatrics | 39 East Ave, Pawtucket, RI 02860-4003 | 2014-05-02 |
| 1922388131 | Neelam Thapa | Pediatrics | 42 Park Pl, Pawtucket, RI 02860-4010 | 2011-08-18 |
| 1043466154 | Natalia Lukankina | Pediatrics | 111 Brewster St, Pawtucket, RI 02860-4400 | 2008-08-09 |
| 1326243866 | Viren Andrew D'sa | Pediatrics | 555 Prospect St, Pawtucket, RI 02860-6200 | 2007-06-15 |
| 1659426161 | Mill River Pediatrics | Pediatrics | 126 Prospect St, Pawtucket, RI 02860-4429 | 2007-01-24 |
| 1346223245 | Esther J. Entin | Pediatrics | 111 Brewster St, Department of Pediatrics, Pawtucket, RI 02860-4400 | 2005-11-23 |
| 1174511265 | Karla P Fuentes | Pediatrics | 42 Park Pl, Pawtucket, RI 02860-4010 | 2005-10-12 |
| 1053303669 | Tanya Jean Becker | Pediatrics | 126 Prospect St, Pawtucket, RI 02860-4429 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116214 | Jenks Park Pediatrics, Inc. | Pediatrics | 577 Broad St Fl 1, Central Falls, RI 02863-2837 | 2019-10-28 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1629509112 | Kelly Fitzgerald Cohen | Pediatrics | 900 Warren Ave Ste 200, East Providence, RI 02914-1430 | 2017-03-25 |
| 1992152219 | Liza Cantor | Pediatrics | 300 Centerville Rd # 110, Warwick, RI 02886-0200 | 2016-05-17 |
| 1508264060 | Cecile Ibrahim | Pediatrics | 11 Magazine St, Cranston, RI 02920-8123 | 2014-12-16 |
| 1275949984 | Jessica Brett Farrell | Pediatrics | 285 Governor St Ste 3, Providence, RI 02906 | 2014-07-02 |
| 1447697552 | Michelle Beller | Pediatrics | 334 County Rd, Barrington, RI 02806-2497 | 2013-05-30 |
| 1063765196 | Kathleen Ann Calenda | Pediatrics | 185 Joseph Ct, Warwick, RI 02886 | 2012-10-26 |
| 1154680007 | Yvonne Stuy Weiss | Pediatrics | 23 Nayatt Rd, Barrington, RI 02806-3317 | 2012-05-14 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 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.