US MEDGROUP PA (NPI# 1720367923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720367923 |
Entity Type | Organization |
Organization Name | US MEDGROUP PA |
Other Organization Name | ADVANCED MEDICAL SPECIALISTS |
Practice Address |
290 Branch Ave Providence RI 02904 |
Mailing Address |
5080 Spectrum Drive Suite 1200 West Addison TX 75001 |
Practice Telephone | 4017228880 |
Practice Fax Number | 4017239320 |
Enumeration Date | 2011-08-05 |
Last Update Date | 2015-06-30 |
Authorized Official Name | ROBERT HASSETT (PRESIDENT) |
Authorized Official Telephone | 9723648000 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Advanced Medical Specialists | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659650844 | Us Medgroup Pa | Clinic/Center | 1710 W Southern, Mesa, AZ 85202 | 2011-08-05 |
1649559832 | Us Medgroup Pa | Clinic/Center | 901 East Jefferson St, Phoenix, AZ 85034 | 2011-08-05 |
1144637679 | Us Medgroup Pa | Clinic/Center | 6423 Columbia Ave, Hammond, IN 46320-2747 | 2014-07-16 |
1609283142 | Us Medgroup Pa | Clinic/Center | 5940 Decatur Blvd, Indianapolis, IN 46241-9579 | 2014-07-16 |
1083021513 | Us Medgroup Pa | Clinic/Center | 5604 W 74th St, Indianapolis, IN 46278-1752 | 2014-07-16 |
1568889988 | Us Medgroup Pa | Clinic/Center | 4115 Dorchester Rd, Suie 100, Charleston, SC 29405-7466 | 2014-03-24 |
1912324336 | Us Medgroup Pa | Clinic/Center | 7519 Rivers Ave, North Charleston, SC 29406-4662 | 2014-03-24 |
1952680993 | Us Medgroup Pa | Clinic/Center | 2455 N 124th St, Brookfield, WI 53005-4630 | 2011-08-09 |
1174802375 | Us Medgroup Pa | Clinic/Center | 8923 W Brown Deer Rd, Milwaukee, WI 53224-2120 | 2011-08-05 |
1568741759 | Us Medgroup Pa | Clinic/Center | 14155 N 83rd Ave, Bldg 8, Ste 148, Peoria, AZ 85381 | 2011-08-05 |
Street Address |
290 BRANCH AVE |
City | PROVIDENCE |
State | RI |
Zip Code | 02904 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114243599 | Occupational Health Services of The Southwest Pa | Clinic/Center | 290 Branch Ave, Providence, RI 02904 | 2010-04-11 |
1629632567 | Alexander Perdikis | Physical Therapist | 290 Branch Ave, Providence, RI 02904-2713 | 2019-04-25 |
1023395340 | Concentra Primary Care Pa | Clinic/Center | 290 Branch Ave, Providence, RI 02904-2713 | 2011-11-15 |
1780900407 | American Current Care Pa | Clinic/Center | 290 Branch Ave, Providence, RI 02904 | 2010-04-20 |
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 | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558508598 | Providence College Student Health Services | Clinic/Center | 549 River Ave, Providence, RI 02918-7000 | 2009-01-13 |
1336335884 | Lars Bergeson, Md, PC | Clinic/Center | 382 N 280 W, Providence, UT 84332-0609 | 2007-09-19 |
1972662104 | Children's Friend and Service | Clinic/Center | 153 Summer St, Providence, RI 02903-4011 | 2006-12-06 |
1356374086 | Richard T Stevens, Md, PC | Clinic/Center | 169 Springcreek Pkwy, 100, Providence, UT 84332-9707 | 2006-07-08 |
1669871919 | Blackstone Massage Therapy Center | Clinic/Center | 295 Governor St, Providence, RI 02906-3241 | 2014-08-21 |
1093154031 | James Dennis Mathews, D.o., P.C. | Clinic/Center | 382 W 280 N, Providence, UT 84332-0609 | 2013-06-24 |
1003001959 | Kevin R Duke, Do, PC | Clinic/Center | 382 W 280 N, Providence, UT 84332-0609 | 2007-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548771900 | Horizon Wellness | Clinic/Center | 1339 Smith St, North Providence, RI 02908 | 2017-10-12 |
1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
1043496003 | Gailes Chiropractic Inc. | Clinic/Center | 176 Child St, Warren, RI 02885-2763 | 2008-01-21 |
1750577870 | U.S. Medgroup, P.a. | Clinic/Center | 40 Sharpe Dr, Cranston, RI 02920-4485 | 2007-09-21 |
1689146771 | Nutrition Thyme, LLC | Clinic/Center | 47 Lafayette Dr, Bristol, RI 02809-5012 | 2018-12-30 |
1619217502 | Medication Management LLC | Clinic/Center | 600 Putnam Pike, Suite 7, Greenville, RI 02828-1486 | 2013-02-28 |
1093094625 | Nutritionally Sound, LLC | Clinic/Center | 2444 E Main Rd, Portsmouth, RI 02871-4025 | 2011-08-13 |
1154570190 | Concentra Health Services, Inc. | Clinic/Center | 203 Concord Street, Suite 301, Pawtucket, RI 02860 | 2008-09-15 |
1053560094 | Concentra Health Services, Inc. | Clinic/Center | 2191 Post Road, Suite 3, Warwick, RI 02886 | 2008-09-15 |
1972790541 | U.S. Medgroup, P.a. | Clinic/Center | 40 Sharpe Dr, Cranston, RI 02920 | 2007-09-27 |
Find all providers with the same taxonomy |
City | PROVIDENCE |
Zip Code | 02904 |
Please comment or provide details below to improve the information on US MEDGROUP PA.
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.