ELKIN O ESTRADA


Address: 1076 N Main St, Providence, RI 02904-5760
Phone: 4018617711

ELKIN O ESTRADA (NPI# 1811995509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811995509
Entity Type Individual
Full Name ELKIN O ESTRADA
Credential MD
Practice Address 1076 N Main St
Providence
RI 02904-5760
Practice Telephone 4018617711
Practice Fax Number 4014215710
Mailing Telephone 4018617711
Mailing Fax Number 4014215710
Enumeration Date 2005-07-07
Last Update Date 2010-07-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine MD10888 RI Allopathic & Osteopathic Physicians
Y 207RN0300X Internal Medicine
Specialization: Nephrology
MD10888 RI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RI 7009622 05

Office Location

Street Address 1076 N MAIN ST
City PROVIDENCE
State RI
Zip Code 02904-5760

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295733988 Richard A Cottiero Internal Medicine 1076 N Main St, Ste 3, Providence, RI 02904 2005-07-07
1144616715 Edward Medeiros Internal Medicine 1076 N Main St, Providence, RI 02904-5760 2015-04-10
1700131125 Josef Edrik Keith Abiog Bautista Internal Medicine 1076 N Main St, Providence, RI 02904-5760 2012-07-23
1912177734 Patricia Ann Petrillo Dietitian, Registered 1076 N Main St, Providence, RI 02904-5760 2008-03-07
1073799573 Arnoldas Giedrimas Internal Medicine 1076 N Main St, Providence, RI 02904-5760 2008-01-14
1568667434 Keith R Bartolomei Internal Medicine 1076 N Main St, Providence, RI 02904-5760 2007-06-19
1669598868 Melissa Jane Savicki Physician Assistant 1076 N Main St, Providence, RI 02904-5760 2007-03-21
1639277072 Hypertension & Nephrology, Inc. Specialist 1076 N Main St, Providence, RI 02904-5760 2006-09-20
1487607693 Louis R Maiello Radiology 1076 N Main St, Providence, RI 02904-5760 2006-05-18
1326091711 Cranston Mri PC Radiology 1076 N Main St, Providence, RI 02904-5760 2006-05-18
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477087070 Muhammad Waqar Liaqat Internal Medicine 593 Eddy St, Providence, RI 02903-4923 2017-04-20
1144616715 Edward Medeiros Internal Medicine 1076 N Main St, Providence, RI 02904-5760 2015-04-10
1700131125 Josef Edrik Keith Abiog Bautista Internal Medicine 1076 N Main St, Providence, RI 02904-5760 2012-07-23
1306123476 Providence Interventional Associates II LLC Internal Medicine 100 Highland Ave, Providence, RI 02906-2740 2011-11-03
1457509556 Marc Weinberg Md Personal Healthcare Ltd Internal Medicine 1 Randall Sq Ste 304, Providence, RI 02904-2773 2008-09-03
1568667434 Keith R Bartolomei Internal Medicine 1076 N Main St, Providence, RI 02904-5760 2007-06-19
1437223658 Ayman M. Wahbeh Internal Medicine 593 Eddy St, Middle House 3, Providence, RI 02903-4923 2006-11-20
1639108384 Andrew J. Cohen Internal Medicine 593 Eddy St, Apc 9, Providence, RI 02903-4923 2006-07-02
1346249695 David C Yoburn Internal Medicine 1076 N Main St, Providence, RI 02904-5760 2005-07-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356738819 Robert M Serra, Md Internal Medicine 19 Canyon Dr, Westerly, RI 02891-3814 2015-04-22
1790975191 Maroun E Azar Internal Medicine 250 Centerville Rd Bldg E, Warwick, RI 02886 2007-07-31
1770998338 Manini Vishwanath Internal Medicine 318 Waterman Ave, East Providence, RI 02914 2014-06-23
1518109073 Peter C Shorter Internal Medicine 70 Kenyon Ave, Suite 104, Wakefield, RI 02879-4239 2009-03-30
1982892824 George P Bayliss Internal Medicine 375 Wampanoag Trl, Suite 302a, Riverside, RI 02915-2232 2007-10-04
1124225594 Mordecai Jeremiah Stolk Internal Medicine 318 Waterman Ave, East Providence, RI 02914-3525 2007-06-29
1770665424 Shoreline Nephrology Associates, Inc. Internal Medicine 17 Wells St, Suite 202, Westerly, RI 02891-2923 2006-10-20
1740394030 Robert Michael Serra Internal Medicine 17 Wells St, Westerly, RI 02891-2923 2006-08-17
1609889419 Joseph Michael Romanello Internal Medicine 17 Wells St, Suite 202, Westerly, RI 02891-2923 2006-08-14
1477579407 Mark J Mancini Internal Medicine 17 Wells St, Suite 202, Westerly, RI 02891-2923 2006-07-14
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Competitor

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City PROVIDENCE
Zip Code 02904

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Dataset Information

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.

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