MR. KENNETH CHARLES BARIS JR. (NPI# 1811457583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811457583 |
Entity Type | Individual |
Full Name | MR. KENNETH CHARLES BARIS JR. |
Credential | PA-C |
Practice Address |
115 Cass Ave Woonsocket RI 02895-4705 |
Mailing Address |
57 Old Danielson Pike Foster RI 02825-1458 |
Practice Telephone | 4017694100 |
Mailing Telephone | 4017437054 |
Enumeration Date | 2019-03-20 |
Last Update Date | 2019-03-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
115 CASS AVE |
City | WOONSOCKET |
State | RI |
Zip Code | 02895-4705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114900024 | Glenn G. Fort | Internal Medicine | 115 Cass Ave, Landmark Medical Center, Woonsocket, RI 02895 | 2005-11-23 |
1407462955 | Alexandra Leigh Cataldo | Registered Nurse | 115 Cass Ave, Woonsocket, RI 02895-4731 | 2020-09-21 |
1568078434 | Abdessamad El Adnani | Student in an Organized Health Care Education/Training Program | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2020-09-16 |
1366078206 | Ethan Richard Manos | Physician Assistant | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2020-03-22 |
1972148047 | Leanne Benson | Advanced Practice Midwife | 115 Cass Ave, Woonsocket, RI 02895-4731 | 2019-11-13 |
1962055004 | Prime Healthcare Services - Landmark,llc | Pharmacy | 115 Cass Ave, Woonsocket, RI 02895-4731 | 2019-07-18 |
1992367734 | Sean Mitchell Conger | Physician Assistant | 115 Cass Ave, Woonsocket, RI 02895-4731 | 2019-07-02 |
1366920217 | Carla Angela Salvadore | Nurse Practitioner | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2018-08-02 |
1578097143 | Jennifer Fix | Nurse Practitioner | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2017-04-20 |
1508307299 | Ocean Medical Associates | Internal Medicine | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2017-03-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730732017 | Karissa Cardoso | Behavior Technician | 36 Cleveland Street, Apt 1, Woonsocket, RI 02895 | 2019-07-16 |
1841714177 | Richard Keith Polacek | Behavioral Analyst | 30 Cumberland St., Woonsocket, RI 02895 | 2017-07-28 |
1912353335 | Muria Irine Nisbett | Social Worker | 4 Gaulin Ave., Floor 4, Woonsocket, RI 02895 | 2016-05-05 |
1083046833 | Shaylyn Kathleen Mcteague | Podiatrist | 20 Cumberland Hill Rd Unit 210, Woonsocket, RI 02895 | 2013-08-04 |
1902243165 | David J. Ward Dmd, PC | Dentist | 460 S. Main St., Woonsocket, RI 02895 | 2013-05-29 |
1073876256 | Patricia J Corbett | Social Worker | 181 Cumberland St # 301, Woonsocket, RI 02895 | 2012-06-21 |
1114206521 | Patricia Nievez Alvarez | Social Worker | 181 Cumberland St Ste 301, Woonsocket, RI 02895 | 2011-08-16 |
1891082970 | Ann Katherine Maccarone | Speech-Language Pathologist | 1 Cumberland St., Woonoscket, RI 02895 | 2011-07-08 |
1043507734 | Infectious Diseases Associates of Rhode Island | Internal Medicine | 115 Cass Avenue - 3rd Floor, C/o Landmark Medical, Woonsocket, RI 02895 | 2011-07-01 |
1740577543 | Michelle Marie Durand Straube | Optometrist | 385 Mendon Road, Woonsocket, RI 02895 | 2011-06-30 |
Find all providers in zip 02895 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073047890 | Elizabeth J Granata | Physician Assistant | 20 Cumberland Hill Rd, Suite 104, Woonsocket, RI 02895-4883 | 2017-04-18 |
1295080315 | Rachel Lacourse | Physician Assistant | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2012-07-14 |
1659650315 | Logan M Rich | Physician Assistant | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2011-08-12 |
1831342666 | Robert R Bowden | Physician Assistant | 25 John A Cummings Way, Box # 3, Woonsocket, RI 02895-3244 | 2008-10-24 |
1073628673 | Gerard Francis Dougherty | Physician Assistant | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2006-08-21 |
1508896432 | Sarah Baily | Physician Assistant | 115 Cass Ave, Woonsocket, RI 02895 | 2006-07-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285243311 | Sara Lafreniere | Physician Assistant | 18 Millers Brook Dr, Cumberland, RI 02864-6132 | 2020-07-24 |
1962962589 | Delaney Horsley | Physician Assistant | 472 W Fountain St Apt 1, Providence, RI 02903-3570 | 2019-03-20 |
1154807717 | Ocean State Primary, LLC | Physician Assistant | 300 Toll Gate Rd Ste 101b, Warwick, RI 02886-4447 | 2018-07-17 |
1447753728 | Joseph Desrosiers II | Physician Assistant | 712 Putnam Pike Unit 2, Chepachet, RI 02814-1404 | 2018-03-13 |
1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
1285988790 | Silver Spring Health Care Management, Inc. | Physician Assistant | 70 Kenyon Ave Unit 321, Wakefield, RI 02879 | 2012-11-06 |
1275601056 | Michael Anthony Mcgourty | Physician Assistant | 93 Thames St, Newport, RI 02840-2536 | 2006-12-01 |
1629168901 | Ri Departmenf of Corrections | Physician Assistant | 39 Howard Ave, Cranston, RI 02920-3001 | 2006-10-15 |
1962598516 | Walter Deluca | Physician Assistant | 684 Warren Ave, East Providence, RI 02914-1405 | 2006-10-04 |
1225138597 | Hope Ellen Burns | Physician Assistant | 1145 Main St, Pawtucket, RI 02860-4807 | 2006-09-25 |
Find all providers with the same taxonomy |
City | WOONSOCKET |
Zip Code | 02895 |
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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.