DR. DAVID J DISANTO (NPI# 1720174501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720174501 |
| Entity Type | Individual |
| Full Name | DR. DAVID J DISANTO |
| Credential | M.D. |
| Practice Address |
2464 Pawtucket Avenue East Providence RI 02914 |
| Practice Telephone | 4014310226 |
| Practice Fax Number | 4014343166 |
| Mailing Telephone | 4014310226 |
| Mailing Fax Number | 4014343166 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 5417 | RI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | UNHP | 06-00102 | 01 |
| RI | BLUE CROSS | 1603-8 | 01 |
| MA | MA BLUE CROSS | DAM13785 | 01 |
| RI | BLUE CHIP | 002602 | 01 |
| RI | 9001603 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962483289 | David A Disanto | Anesthesiology | 8333 N Davis Hwy, West Florida Medical Center Clinic Pa, Pensacola, FL 32514-6049 | 2005-11-14 |
| Street Address |
2464 PAWTUCKET AVENUE |
| City | EAST PROVIDENCE |
| State | RI |
| Zip Code | 02914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457988198 | Sean C. Duffy | Massage Therapist | 231 Warren Ave., East Providence, RI 02914 | 2020-03-24 |
| 1457905606 | Jeanine Le-kreuzer, Lmhc | Clinic/Center | 3421 Pawtucket Ave, East Providence, RI 02914 | 2019-07-26 |
| 1881113983 | Megan Grace Fitzpatrick | Student in an Organized Health Care Education/Training Program | 51 Milburn Rd, East Providence, RI 02914 | 2017-09-11 |
| 1265719660 | Hilary Elise Bicknell | Physical Therapist | 927 B Warren Ave, East Providence, RI 02914 | 2011-11-14 |
| 1346549037 | Amanda M Hope | Occupational Therapist | 2680 Pawtucket Ave, East Providence, RI 02914 | 2011-03-21 |
| 1780993824 | Shannon Hayes | Physical Therapist | 400 Massaoit Ave, East Providence, RI 02914 | 2010-10-06 |
| 1053623538 | Ricardo Rafael Correa Marquez | Internal Medicine | 900 Warren Avenue, Suite 300, East Providence, RI 02914 | 2010-07-13 |
| 1013231570 | Michael Seidler | Internal Medicine | 20 Catamore Blvd., East Providence, RI 02914 | 2010-03-26 |
| 1053543405 | Ray Rezania | Dentist | 1055 South Broadway, East Providence, RI 02914 | 2009-08-19 |
| 1144464587 | John F Maynard | Urology | Metacomet Office Park, 450 Veterans Parkway, East Providence, RI 02914 | 2009-04-29 |
| Find all providers in zip 02914 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053447292 | Paul Louis Roberti | Specialist | 61 Cushman Ave, East Providence, RI 02914-3014 | 2007-02-24 |
| 1366598997 | Paula Silva, Mspt, LLC | Specialist | 865 Waterman Ave, East Providence, RI 02914-1300 | 2007-01-26 |
| 1033513098 | William Downing | Specialist | 231 Warren Ave, East Providence, RI 02914-4838 | 2014-10-20 |
| 1902076557 | Syed M Sayeed Md | Specialist | 400 Warren Ave, East Providence, RI 02914-3807 | 2008-03-10 |
| 1235317371 | Avenir Ventures LLC | Specialist | 1 Catamore Blvd, East Providence, RI 02914-1228 | 2008-01-31 |
| 1790863785 | Syed M Sayeed | Specialist | 400 Warren Ave, East Providence, RI 02914-3807 | 2006-11-01 |
| 1346351137 | Cynthia G Banahan | Specialist | 667 Waterman Ave, East Providence, RI 02914-1712 | 2006-08-31 |
| 1659385458 | Louise J Bouchard | Specialist | 667 Waterman Ave, East Providence, RI 02914-1712 | 2006-07-28 |
| 1265452502 | Rosalyn Ombajin | Specialist | 667 Waterman Ave, East Providence, RI 02914-1712 | 2006-07-20 |
| 1851311971 | Gregory Fox | Specialist | 450 Veterans Memorial Pkwy, Bldg. 10, East Providence, RI 02914-5300 | 2006-07-20 |
| Find all providers in EAST PROVIDENCE | ||||
| City | EAST PROVIDENCE |
| Zip Code | 02914 |
Please comment or provide details below to improve the information on DR. DAVID J DISANTO.
| 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.