STEPHANIE NICOLE PRUSKO (NPI# 1750941753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750941753 |
| Entity Type | Individual |
| Full Name | STEPHANIE NICOLE PRUSKO |
| Credential | PA |
| Practice Address |
41 Sanderson Rd Ste 201 Smithfield RI 02917-2603 |
| Mailing Address |
10 Davol Sq Ste 400 Providence RI 02903-4760 |
| Practice Telephone | 4019490300 |
| Practice Fax Number | 4013493387 |
| Mailing Telephone | 4014214000 |
| Mailing Fax Number | 4012721456 |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA01144 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
41 SANDERSON RD STE 201 |
| City | SMITHFIELD |
| State | RI |
| Zip Code | 02917-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033104708 | Deborah Thomas | Physician Assistant | 41 Sanderson Rd Ste 201, Smithfield, RI 02917-2603 | 2005-09-19 |
| 1740778547 | James D. Phillips | Nurse Practitioner | 41 Sanderson Rd Ste 201, Smithfield, RI 02917-2603 | 2018-04-26 |
| 1578909289 | Ryan Dalton Rossi | Internal Medicine | 41 Sanderson Rd Ste 201, Smithfield, RI 02917-2603 | 2013-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124473897 | Karen K. Mckenzie | Social Worker | 25 Thurber Blvd. Unit #2, Smithfield, RI 02917 | 2016-04-29 |
| 1518208818 | Phalanx Med Rhode Island, LLC | Durable Medical Equipment & Medical Supplies | 400 Putnam Pike, Suite J #232, Smithfield, RI 02917 | 2013-03-12 |
| 1710230453 | Lifeline Ambulance LLC | Ambulance | 130 Rocky Hill Road, Smithfield, RI 02917 | 2012-10-18 |
| 1689965337 | Cynthia Ann Tracy | Social Worker | 28 Cedar Swamp Road, Smithfield, RI 02917 | 2011-04-29 |
| 1871794636 | Denise Coffey | Counselor | 47a Cedar Swamp Rd, Smithfield, RI 02917 | 2007-05-30 |
| 1073637807 | National Mentor Healthcare, LLC | Day Training, Developmentally Disabled Services | 25 Thurber Blvd, Smithfield, RI 02917 | 2007-03-19 |
| 1124127998 | Senior Lifestyle North Bay Limited Partnership | Assisted Living Facility | 171 Pleasant View Ave, Smithfield, RI 02917 | 2006-09-21 |
| 1700899986 | Mary Kay Uchmanowicz | Audiologist | 151 Douglas Pike, Smithfield, RI 02917 | 2006-08-15 |
| 1689685042 | John Michael Corsi | Internal Medicine | 28 Cedar Swamp Rd, Smithfield, RI 02917 | 2006-08-11 |
| 1962442376 | Sharon Q Capuano | Nurse Practitioner | 1150 Douglas Pike, Smithfield, RI 02917 | 2006-06-07 |
| Find all providers in zip 02917 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239495 | Megan Rotondo | Physician Assistant | 96 Orchard Meadows Dr, Smithfield, RI 02917-1846 | 2020-06-11 |
| 1407471105 | Dylan Gene Godyn | Physician Assistant | 9 Summer Ct, Smithfield, RI 02917-1868 | 2020-06-09 |
| 1639537707 | Ralph Edwin Wilson Jr. | Physician Assistant | 100 Kellie Drive, Smithfield, NC 27577 | 2016-02-04 |
| 1669802880 | Ashley Murr Seekins | Physician Assistant | 707 Lassiter Street, Smithfield, NC 27577 | 2013-11-25 |
| 1548511207 | Ryan Lloyd Hoover | Physician Assistant | 507 N Brightleaf Blvd Ste 205, Smithfield, NC 27577-4405 | 2012-09-20 |
| 1033104708 | Deborah Thomas | Physician Assistant | 41 Sanderson Rd Ste 201, Smithfield, RI 02917-2603 | 2005-09-19 |
| 1881686590 | Blaine C Etzel | Physician Assistant | 100 Kellie Dr, Smithfield, NC 27577-9444 | 2005-08-18 |
| 1093331936 | Adam Aydin Atik | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2020-06-16 |
| 1437785821 | Robert Christopher Wicklund | Physician Assistant | 1150 Douglas Pike, Smithfield, RI 02917-1291 | 2020-03-17 |
| 1891336251 | Alexxis Rae Langton | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2019-10-07 |
| Find all providers in SMITHFIELD | ||||
| City | SMITHFIELD |
| Zip Code | 02917 |
Please comment or provide details below to improve the information on STEPHANIE NICOLE PRUSKO.
| 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.