SOUTHERN NEW ENGLAND WELLNESS LLC (NPI# 1720644628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720644628 |
| Entity Type | Organization |
| Organization Name | SOUTHERN NEW ENGLAND WELLNESS LLC |
| Practice Address |
60 S Lake Rd Tiverton RI 02878-2830 |
| Practice Telephone | 5089983041 |
| Mailing Telephone | 5089983041 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |
| Authorized Official Name | PATRICIA MELLO (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 5089983041 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
60 S LAKE RD |
| City | TIVERTON |
| State | RI |
| Zip Code | 02878-2830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639704554 | Sa Inc | Social Worker | 92 Main Rd, 2nd Fl, Tiverton, RI 02878 | 2020-03-11 |
| 1184003436 | Nancy E. Jones | Nurse Practitioner | 1800 Main Road, Family Physicians of Tinton & Little Compton, Tiverton, RI 02878 | 2015-05-20 |
| 1164800421 | Jillian St.laurent | Counselor | 63 Mark Drive, Tiverton, RI 02878 | 2015-05-07 |
| 1427458462 | Amy Mello | Social Worker | 25 Harris Drive, Tiverton, RI 02878 | 2014-08-27 |
| 1417140427 | Elizabeth Gay | Psychologist | 1804 Main Road, Tiverton, RI 02878 | 2007-08-22 |
| 1841316718 | Justina Marie O'donnell | Occupational Therapy Assistant | 1620 Old Eagleville Road, Tiverton, RI 02878 | 2007-03-22 |
| 1447308929 | Jane C Alpert | Nurse Practitioner | 1334 Main Road, Tiverton, RI 02878 | 2007-01-08 |
| 1477621605 | Dennis John Rog | Psychologist | 2128 Main Rd, Tiverton, RI 02878 | 2006-12-04 |
| 1497909790 | Leonard E. Mark | Dentist | 1061 Fish Road, Tiverton, RI 02878 | 2008-11-13 |
| 1992900351 | Roderick William Butlin | Dentist | 1061 Fish Road, Tiverton, RI 02878 | 2007-06-18 |
| Find all providers in zip 02878 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710292123 | Franklin M Scheel | Internal Medicine | 81 Winnisimet Dr, Tiverton, RI 02878-4733 | 2010-08-10 |
| 1164424123 | Joan Harrison | Internal Medicine | 546 Main Rd, Prima Care, PC, Tiverton, RI 02878-1350 | 2005-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216974 | Rhode Island Health Group PC | Internal Medicine | 63 Eddie Dowling Hwy Ste 1, North Smithfield, RI 02896-7322 | 2020-08-20 |
| 1871115147 | James Lewis Scharfen | Internal Medicine | 593 Eddy St Rm 126, Providence, RI 02903-4923 | 2020-05-10 |
| 1801428131 | Core Health Care LLC | Internal Medicine | 220 Watch Hl, East Greenwich, RI 02818-5103 | 2020-02-05 |
| 1992367189 | Ahmad Radwan Mahmoud Muammar | Internal Medicine | 455 Toll Gate Rd Ofc, Warwick, RI 02886-2759 | 2019-07-08 |
| 1083271241 | Perry Mayo-malasky | Internal Medicine | 201 Angell St Apt 7, Providence, RI 02906-1236 | 2019-05-23 |
| 1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
| 1871084509 | Jaclyn Mckenna | Internal Medicine | Rhode Island Hospital 593 Eddy Street, Providence, RI 02903 | 2018-05-29 |
| 1104315258 | Pawtucket Primary Care Inc. | Internal Medicine | 333 School St Ste 107, Pawtucket, RI 02860-5335 | 2018-05-04 |
| 1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| Find all providers with the same taxonomy | ||||
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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.