CANDACE CRISCIONE (NPI# 1669855169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669855169 |
Entity Type | Individual |
Full Name | CANDACE CRISCIONE |
Other Name | CANDACE MASSO |
Credential | DPM |
Practice Address |
400 Bald Hill Rd Ste 503 Warwick RI 02886-1692 |
Mailing Address |
245 Broad Hill Way Wakefield RI 02879-4844 |
Practice Telephone | 4017387750 |
Mailing Telephone | 4017145443 |
Enumeration Date | 2015-07-01 |
Last Update Date | 2018-08-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
DPM00354 | RI | Podiatric Medicine & Surgery Service Providers |
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1336 | MA | Podiatric Medicine & Surgery Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
245 Broad Hill Way, Wakefield, RI 028794844 | 4017145443 |
Street Address |
400 BALD HILL RD STE 503 |
City | WARWICK |
State | RI |
Zip Code | 02886-1692 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508483694 | Primary & Psychiatric Integrated Care | Family Medicine | 400 Bald Hill Rd Ste 503, Warwick, RI 02886-1692 | 2020-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528694445 | Sheri Lynn Sklarz | Specialist | 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 | 2020-03-23 |
1316581424 | Dr. Degiulio & Associates Inc | Optometrist | 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 | 2019-10-31 |
1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
1538687520 | David A. Bennett | Registered Nurse | 2756 Post Road, Warwick, RI 02886 | 2017-08-30 |
1427585223 | Brittany Teixeira | Counselor | 85 Earl Street, Warwick, RI 02886 | 2017-05-11 |
1497125199 | Aiden Philip Cwynar | Optometrist | 1050 Centerville Road, Warwick, RI 02886 | 2015-10-07 |
1104221738 | Wilfredo L Sancianco Dmd Inc | Preferred Provider Organization | 3411 W Shiore Rd, Warwick, RI 02886 | 2014-10-24 |
1831508662 | Matthew Bryant Mitchell | Physical Therapist | 400 Bald Hill Rd #511, Warwick, RI 02886 | 2014-08-06 |
Find all providers in zip 02886 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508010703 | Ocean State Podiatry & Associates, LLC | Podiatrist | 1410 Warwick Ave, Warwick, RI 02888-5068 | 2008-11-14 |
1922642776 | Tri-state Foot and Ankle | Podiatrist | 2 Overlook Dr, Warwick, NY 10990-1810 | 2019-11-05 |
1881156727 | Lauren Murphey Wolff | Podiatrist | 455 Toll Gate Rd, Warwick, RI 02886-2770 | 2019-04-01 |
1871041491 | Centerville Podiatry LLC | Podiatrist | 469 Centerville Rd, Ste 105, Warwick, RI 02886-4354 | 2016-09-12 |
1649622598 | Sara Elizabeth Cathcart | Podiatrist | 1087 Warwick Ave Unit 1, Warwick, RI 02888 | 2016-07-04 |
1780025387 | Arun Singh Karwal | Podiatrist | 400 Bald Hill Rd, Foot & Ankle Institute of New England, Warwick, RI 02886-1617 | 2013-07-11 |
1629353503 | South County Foot and Ankle Inc | Podiatrist | 1050 Warwick Ave, Warwick, RI 02888-3655 | 2011-10-11 |
1164747093 | South County Foot & Ankle, Inc. | Podiatrist | 1087 Warwick Ave, Warwick, RI 02888-3545 | 2010-04-03 |
1871724740 | Jason P Mallette | Podiatrist | 1050 Warwick Ave, Warwick, RI 02888-3655 | 2009-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871123372 | Lepoer Podiatry, Inc. | Podiatrist | 1 Randall Sq Ste 408, Providence, RI 02904-7405 | 2020-01-23 |
1659788735 | Brandi Kimble | Podiatrist | 825 Chalkstone Avenue, Providence, RI 02908 | 2014-07-21 |
1083046833 | Shaylyn Kathleen Mcteague | Podiatrist | 20 Cumberland Hill Rd Unit 210, Woonsocket, RI 02895 | 2013-08-04 |
1407034994 | Sports Medicine Orthopaedics & Podiatry Inc | Podiatrist | 400 Massasoit Avenue, Suite 201, East Providence, RI 02914-2012 | 2008-02-06 |
1134242472 | Rhode Island Foot Care, Inc | Podiatrist | 649 East Ave, Pawtucket, RI 02860-6157 | 2007-04-10 |
1023132099 | Melvin J Mancini | Podiatrist | 345 Armistice Blvd, Pawtucket, RI 02861-2429 | 2007-03-16 |
1003982547 | Heritage Medical Associates PC | Podiatrist | 131 Beechwood Ave, Pawtucket, RI 02860-5409 | 2006-11-27 |
1851470595 | Douglas J Glod | Podiatrist | 250 Wampanog Trail, Suite 205, East Providence, RI 02915 | 2006-11-03 |
1619056355 | Robert W Gibbons | Podiatrist | 2050 Mineral Spring Ave, North Providence, RI 02911 | 2006-11-03 |
1245247089 | William S Naughton | Podiatrist | 524 Central Ave, Pawtucket, RI 02861-1947 | 2006-08-02 |
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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.