DR. STEPHEN T MERNOFF (NPI# 1720045438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720045438 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN T MERNOFF |
| Credential | M.D. |
| Practice Address |
877 Chalkstone Ave Providence RI 02908-4728 |
| Mailing Address |
50 Maude St Providence RI 02908-4325 |
| Practice Telephone | 4014562310 |
| Mailing Telephone | 4014565368 |
| Mailing Fax Number | 4014565782 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
08403 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 7003892 | 05 |
| Street Address |
877 CHALKSTONE AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02908-4728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205077633 | Maryam Inanloo | Internal Medicine | 877 Chalkstone Ave, Providence, RI 02908-4728 | 2009-03-15 |
| 1235370933 | Nazeer Mohammed Jalal | Internal Medicine | 877 Chalkstone Ave, Resident's Practice, Providence, RI 02908-4728 | 2009-03-10 |
| 1528208477 | Alexandro Zarruk | Internal Medicine | 877 Chalkstone Ave, Providence, RI 02908-4728 | 2009-03-04 |
| 1417908021 | Oscar Bernal | Psychiatry & Neurology | 877 Chalkstone Ave, Providence, RI 02908-4728 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771900 | Horizon Wellness | Clinic/Center | 1339 Smith St, North Providence, RI 02908 | 2017-10-12 |
| 1477098069 | Beth Perry | Nurse Practitioner | 830 Chalstone Ave., Providence, RI 02908 | 2017-01-05 |
| 1659788735 | Brandi Kimble | Podiatrist | 825 Chalkstone Avenue, Providence, RI 02908 | 2014-07-21 |
| 1912253675 | Roger Williams Medical Center | Long Term Care Hospital | 25 Chalkstone Ave, Providence, RI 02908 | 2012-07-31 |
| 1669768818 | Elisa Semedo | Physical Therapist | 285 Promenade Street, Providence, RI 02908 | 2011-06-27 |
| 1255655502 | Caregiver Homes of Rhode Island Inc. | Custodial Care Facility | 235 Promenade Street, Providence, RI 02908 | 2010-03-16 |
| 1487884987 | Professional Ambulance LLC | Ambulance | 52 River Ave, Providence, RI 02908 | 2009-07-17 |
| 1609065804 | Stephen W Davis | Family Medicine | 299 Promenade Street, Nhpri, Providence, RI 02908 | 2007-10-24 |
| 1205053899 | John R Ricci | Dentist | 1252 Smith St, Providence, RI 02908 | 2007-04-18 |
| 1871718718 | Brett C Auclaire | Nurse Practitioner | 40 Candace Street, Providence, RI 02908 | 2007-04-16 |
| Find all providers in zip 02908 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215597000 | Liqi Shu | Psychiatry & Neurology | Rhode Island Hospital, 593 Eddy St, Providence, RI 02903-4923 | 2019-06-14 |
| 1396703294 | Israel Yaar | Psychiatry & Neurology | Davis Park (127a), Va Medical Center, Providence, RI 02908 | 2006-05-02 |
| 1184609398 | Michael A Friedman | Psychiatry & Neurology | 146 W River St, Suite 11b, Providence, RI 02904-2609 | 2005-12-09 |
| 1518580703 | Sanaya Daruvala | Psychiatry & Neurology | 593 Eddy St, Providence, RI 02903-4923 | 2020-05-21 |
| 1699398933 | Macdonell Stanford | Psychiatry & Neurology | 593 Eddy St, Providence, RI 02903-4923 | 2020-05-21 |
| 1376101162 | Daniel Mandel | Psychiatry & Neurology | 593 Eddy St, Providence, RI 02903-4923 | 2019-06-05 |
| 1952968125 | Cody Sanders | Psychiatry & Neurology | 593 Eddy St, Providence, RI 02903-4923 | 2019-05-23 |
| 1407413578 | Maheen Rana | Psychiatry & Neurology | 593 Eddy St, Providence, RI 02903-4923 | 2019-05-23 |
| 1679069900 | Natalie Erlich-malona | Psychiatry & Neurology | 593 Eddy St, Providence, RI 02903-4923 | 2018-07-10 |
| 1235622846 | Jacob Korzun | Psychiatry & Neurology | 593 Eddy St, Providence, RI 02903-4923 | 2018-06-08 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02908 |
Please comment or provide details below to improve the information on DR. STEPHEN T MERNOFF.
| 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.