MICHAEL W. LUCARELLI D.O.,INC. (NPI# 1699909747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699909747 |
| Entity Type | Organization |
| Organization Name | MICHAEL W. LUCARELLI D.O.,INC. |
| Practice Address |
3461 S County Trl Suite 201 East Greenwich RI 02818-1463 |
| Practice Telephone | 4014716850 |
| Practice Fax Number | 4014716855 |
| Mailing Telephone | 4014716850 |
| Mailing Fax Number | 4014716855 |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2009-05-04 |
| Authorized Official Name | DR. MICHAEL WILLIAM LUCARELLI (PHYSICIAN/PRESIDENT) |
| Authorized Official Telephone | 4014716850 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | DO00491 | RI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | 089002947 | 01 |
| Street Address |
3461 S COUNTY TRL SUITE 201 |
| City | EAST GREENWICH |
| State | RI |
| Zip Code | 02818-1463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689639874 | Michael William Lucarelli | Family Medicine | 3461 S County Trl, Suite 201, East Greenwich, RI 02818-1463 | 2006-04-19 |
| 1134608011 | Caroline N Bertram | Physical Therapist | 3461 S County Trl, East Greenwich, RI 02818-1465 | 2018-08-10 |
| 1811485345 | Danielle Anne Giorgi | Nurse Practitioner | 3461 S County Trl, East Greenwich, RI 02818-1465 | 2018-04-30 |
| 1457701518 | Lauren Vieira | Physician Assistant | 3461 S County Trl, Suite 202, East Greenwich, RI 02818-1465 | 2016-06-20 |
| 1528348521 | Robert K Dyer Md Dermatology LLC | Dermatology | 3461 S County Trl, Suite 202, East Greenwich, RI 02818-1465 | 2011-08-22 |
| 1891085387 | Vincent Criscione | Dermatology | 3461 S County Trl, Suite 202, East Greenwich, RI 02818-1465 | 2011-04-18 |
| 1053574111 | Meighan Dingle Blanco | Nurse Practitioner | 3461 S County Trl, Suite 202, East Greenwich, RI 02818-1465 | 2008-07-08 |
| 1205008851 | Richard M Delsesto Md Ms Ltd | Internal Medicine | 3461 S County Trl, Suite 303, East Greenwich, RI 02818-1465 | 2008-03-24 |
| 1588866719 | Robert K. Dyer | Dermatology | 3461 S County Trl, Suite 202, East Greenwich, RI 02818-1465 | 2007-06-01 |
| 1942370234 | Robert Gianfrocco | Emergency Medicine | 3461 S County Trl, East Greenwich, RI 02818-1465 | 2006-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875489 | Connor Michael Hagerty | Dentist | 61 Cedar Ave, #5, East Greenwich, RI 02818 | 2020-06-16 |
| 1467086777 | Kimberly Olson | Social Worker | 4372 Post Road, East Greenwich, RI 02818 | 2020-02-25 |
| 1154977106 | Pappas Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 1000 Division Road, Suite 100, East Greenwich, RI 02818 | 2019-08-15 |
| 1184270464 | Pappas Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 5805 Post Road, Unit 1, East Greenwich, RI 02818 | 2019-08-13 |
| 1003390428 | Liana Marie Waybright | Dietitian, Registered | East Greenwich Specialty Clinic, 1454 South County Trail, East Greenwich, RI 02818 | 2018-09-21 |
| 1053805614 | Danielle Moreau | Physical Therapist | 5750 Post Rd Ste 2a, East Greenwich, RI 02818 | 2018-06-18 |
| 1508385345 | Rhode Island Limb Co Inc | Physical Therapist | 63 Cedar Ave Unit 12, East Greenwich, RI 02818 | 2017-09-13 |
| 1407202963 | Doris Major Howie | Registered Nurse | 4512 Post Rd., East Greenwich, RI 02818 | 2016-05-13 |
| 1851648760 | Christi L Saurette | Social Worker | 3285 South County Trail, Suite 2b, East Greenwich, RI 02818 | 2012-08-09 |
| 1811257934 | Elizabeth Decker | Internal Medicine | 1407 S County Trl Ste 410, East Greenwich, RI 02818 | 2012-05-23 |
| Find all providers in zip 02818 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265761936 | Ciresi Chiropractic | Clinic/Center | 3285 South County Trail, East Greenwich, RI 02818-3111 | 2009-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063034767 | Alternative Integrative Medicine, Inc | Clinic/Center | 222 Jefferson Blvd Ste 4, Warwick, RI 02888-3847 | 2020-05-15 |
| 1013401124 | Cigna Onsite Health LLC | Clinic/Center | 735 Greenville Ave, Bldg D, Johnston, RI 02919 | 2018-06-21 |
| 1922508373 | Acupuncture Ri Ltd. | Clinic/Center | 102 Gano St, Providence, RI 02906-3807 | 2018-02-12 |
| 1477098911 | Rhode Island Neurodiagnostics, LLC | Clinic/Center | 10 Dorrance St., Ste. 700, Office 707, Providence, RI 02903-2014 | 2016-12-19 |
| 1467864884 | Providence Community Acupuncture, LLC | Clinic/Center | 22 Parsonage St, Providence, RI 02903-4732 | 2014-05-21 |
| 1487923793 | Northwest Community Health Care | Clinic/Center | 999 S. Main Street, Pascoag, RI 02859 | 2011-12-16 |
| 1114243599 | Occupational Health Services of The Southwest Pa | Clinic/Center | 290 Branch Ave, Providence, RI 02904 | 2010-04-11 |
| 1750537056 | Heritage Podiatry Inc. | Clinic/Center | 5 Money Hill Rd, Chepachet, RI 02814-1304 | 2008-08-18 |
| 1902027808 | The Miriam Hospital | Clinic/Center | 11 Summit Ave, Providence, RI 02906-2506 | 2007-05-01 |
| 1932127016 | Providence Va Medical Center | Clinic/Center | 17 Kiwanis Road, West Warwick, RI 02893-5521 | 2006-07-17 |
| Find all providers with the same taxonomy | ||||
| City | EAST GREENWICH |
| Zip Code | 02818 |
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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.