ROGER WILLIAMS MEDICAL CENTER (NPI# 1760736557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760736557 |
| Entity Type | Organization |
| Organization Name | ROGER WILLIAMS MEDICAL CENTER |
| Other Organization Name | ROGER WILLIAMS SURGICAL ONCOLOGY GROUP |
| Practice Address |
825 Chalkstone Ave Providence RI 02908-4728 |
| Mailing Address |
825 Chalkstone Ave N. Campus Business Office, Attn: R. Soares Providence RI 02908-4728 |
| Practice Telephone | 4014562000 |
| Mailing Telephone | 4014562525 |
| Mailing Fax Number | 4014566742 |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2013-12-18 |
| Authorized Official Name | KENNETH H. BELCHER (PRESIDENT, CEO) |
| Authorized Official Telephone | 4014562025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | HOS00108 | RI | Allopathic & Osteopathic Physicians |
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
HOD00108 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | HOSPITAL LICENSE NUMBER | HOS00108 | 01 |
| RI | RO91282 | 05 |
| Other Name | Type Code |
|---|---|
| Roger Williams Surgical Oncology Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912253675 | Roger Williams Medical Center | Long Term Care Hospital | 25 Chalkstone Ave, Providence, RI 02908 | 2012-07-31 |
| 1477977064 | Roger Williams Medical Center | Dermatology | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2014-02-18 |
| 1063853661 | Roger Williams Medical Center | General Acute Care Hospital | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2013-07-11 |
| 1710244157 | Roger Williams Medical Center | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2012-04-23 |
| 1518987981 | Roger Williams Medical Center | Surgery | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2006-07-20 |
| 1568498392 | Roger Williams Medical Center | Nutritionist | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2006-06-23 |
| 1457395998 | Roger Williams Medical Center | Psychiatry & Neurology | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2006-06-15 |
| 1114961729 | Roger Williams Medical Center | Home Health | 50 Maude St, Providence, RI 02908-4325 | 2006-06-15 |
| 1649278250 | Roger Williams Medical Center | General Acute Care Hospital | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2005-07-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ROGER WILLIAMS MEDICAL CENTER | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Street Address |
825 CHALKSTONE AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02908-4728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459263 | Ritesh Rathore | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2005-07-07 |
| 1821698903 | Afsana Jahan | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-10-28 |
| 1861090508 | Anthony Joseph Paoletta | Social Worker | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-10-14 |
| 1255941720 | Georgio Medawar | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-08-08 |
| 1265042733 | Jessica Khoury | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-08-08 |
| 1215547617 | Amy Remillard | Social Worker | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-31 |
| 1225647738 | Abdallah Mohamed | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-30 |
| 1467061309 | Catherine Ekladios | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-27 |
| 1982213948 | Jamal Al Ali | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-27 |
| 1811506793 | Sadollah Ghasempour Soleymani | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-27 |
| Find all providers in the same location | ||||
| 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 | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740609981 | Harold J Wanebo Md LLC | Surgery | 1165 N Main St, 2nd Floor, Providence, RI 02904-5740 | 2014-04-15 |
| 1770732497 | Abdul Saied Calvino | Surgery | 825 Chalkstone Ave, Dept. of Surgery - Prior 4, Providence, RI 02908-4728 | 2008-09-17 |
| 1275793044 | Steven C Katz | Surgery | 50 Maude St, Providence, RI 02908-4325 | 2008-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396778593 | Landmark Physician Office Services | Surgery | 219 Cass Ave, Woonsocket, RI 02895-4741 | 2006-07-09 |
| City | PROVIDENCE |
| Zip Code | 02908 |
Please comment or provide details below to improve the information on ROGER WILLIAMS MEDICAL CENTER.
| 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.