DR. ANTHONY LE ROY MOULTON (NPI# 1689695736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689695736 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY LE ROY MOULTON |
| Credential | MD |
| Practice Address |
1 Randall Sq Ste 414 Providence RI 02904-2709 |
| Practice Telephone | 4013314175 |
| Practice Fax Number | 4013315718 |
| Mailing Telephone | 4013314175 |
| Mailing Fax Number | 4013315718 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2007-11-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 079657 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 9020315 | 05 |
| Street Address |
1 RANDALL SQ STE 414 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02904-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629074752 | Magdalena G Krzystolik | Ophthalmology | 1 Randall Sq, Suite 203, Providence, RI 02904-2709 | 2005-06-23 |
| 1366051849 | Caroline S. Murray | Nurse Practitioner | 1 Randall Sq, Providence, RI 02904-2709 | 2020-07-30 |
| 1134744659 | Briana J. Bartone | Nurse Practitioner | 1 Randall Sq, Providence, RI 02904-2709 | 2020-06-10 |
| 1639717408 | Kaleena Crooks | Registered Nurse | 1 Randall Sq, Providence, RI 02904-2709 | 2019-12-12 |
| 1922657907 | Catherine Putko | Nurse Practitioner | 1 Randall Sq, Providence, RI 02904-2709 | 2019-09-11 |
| 1003383795 | Phina A Mayu | Nurse Practitioner | 1 Randall Sq, Providence, RI 02904-2709 | 2018-10-31 |
| 1982185526 | Takeysha A Duarte | Nurse Practitioner | 1 Randall Sq, Providence, RI 02904-2709 | 2018-08-22 |
| 1184104648 | Bridget M Andaloro | Nurse Practitioner | 1 Randall Sq, Providence, RI 02904-2709 | 2018-08-15 |
| 1649788258 | Caroline Miringu-ruitha | Nurse Practitioner | 1 Randall Sq, Providence, RI 02904-2709 | 2018-01-17 |
| 1083138572 | The Providence Community Health Centers, Inc | Clinic/Center | 1 Randall Sq, Providence, RI 02904-2709 | 2017-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 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 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457304859 | Frank W. Sellke | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Two Dudley Street, Ste. 470, University Cardiovascular Surgical Associates, Providence, RI 02905 | 2006-05-18 |
| 1144225673 | Robert Anthony Indeglia | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208 Collyer St, Providence, RI 02904-1560 | 2005-06-21 |
| 1770728024 | University Cardiovascular Surgical Associates Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2 Dudley St, Suite 470, Providence, RI 02905-3236 | 2008-12-15 |
| 1477700243 | The Miriam Hospital | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 164 Summit Ave, Providence, RI 02906-2853 | 2008-08-25 |
| 1194980219 | Ikenna Chidume Okereke | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2 Dudley St, Suite 470, Providence, RI 02905-3236 | 2008-07-29 |
| 1588821078 | Steven Milman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2 Dudley St, Suite 470, Providence, RI 02905-3236 | 2008-05-21 |
| 1841470051 | Seacoast Thoracic & Cardiovascular Surgery Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Randall Sq, Suite 414, Providence, RI 02904-2709 | 2007-11-06 |
| 1437232543 | Providence Surgical Care Group, Incorporated | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 486 Silver Spring St, Providence, RI 02904-1556 | 2006-10-23 |
| 1427094267 | Michael Anthony Coady | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 164 Summit Ave, Gilstein Bldg, #1053, Providence, RI 02906-2853 | 2006-06-21 |
| 1538117577 | James G Fingleton Md | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208 Collyer St, Providence, RI 02904-1560 | 2006-05-04 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02904 |
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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.