JORDAN BENJAMIN RAHEB (NPI# 1821650136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821650136 |
| Entity Type | Individual |
| Full Name | JORDAN BENJAMIN RAHEB |
| Practice Address |
2140 Mendon Rd Cumberland RI 02864-3843 |
| Mailing Address |
12 Christopher Dr Lincoln RI 02865-4945 |
| Practice Telephone | 4016422072 |
| Mailing Telephone | 4012579069 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA001176 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2140 MENDON RD |
| City | CUMBERLAND |
| State | RI |
| Zip Code | 02864-3843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184690299 | Gina Gerardine La Prova | Family Medicine | 2140 Mendon Rd, Cumberland, RI 02864-3843 | 2006-02-28 |
| 1396274494 | Michael Pacheco | Nurse Practitioner | 2140 Mendon Rd, Cumberland, RI 02864-3843 | 2017-06-12 |
| 1265800023 | Andre Covacha | Physician Assistant | 2140 Mendon Rd, Cumberland, RI 02864 | 2015-09-10 |
| 1508241795 | Ocean State Urgent Care | Physician Assistant | 2140 Mendon Rd, Cumberland, RI 02864-3843 | 2015-07-29 |
| 1417332685 | Natasha R Carvalho | Physician Assistant | 2140 Mendon Rd, Cumberland, RI 02864-3843 | 2015-07-29 |
| 1275971400 | Ocean State Urgent Care Center of Cumberland, LLC | Clinic/Center | 2140 Mendon Rd, Cumberland, RI 02864-3843 | 2013-06-10 |
| 1528359502 | Concentra Health Care Pa | Clinic/Center | 2140 Mendon Rd, Suite 101a, Cumberland, RI 02864-3833 | 2011-04-26 |
| 1427355791 | Nri Pediatrics PC | Pediatrics | 2140 Mendon Rd, Suite 201, Cumberland, RI 02864-3833 | 2011-02-22 |
| 1689975492 | American Current Care Pa | Clinic/Center | 2140 Mendon Rd, Suite 101a, Cumberland, RI 02864-3833 | 2010-11-10 |
| 1730480815 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 2140 Mendon Rd, Suite 101a, Cumberland, RI 02864-3833 | 2010-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855335 | Kalee Kareemo | Physical Therapist | 1764 Mendon Rd., Suite 6, Cumberland, RI 02864 | 2020-09-15 |
| 1861930489 | Emily Elizabeth Sullivan | Registered Nurse | 106 Nate Whipple Hwy Ste 101, Cumberland, RI 02864 | 2017-02-02 |
| 1649613399 | Nathan Charpentier | Pharmacist | 1623 Mendon Rd, Cumberland, RI 02864 | 2013-04-12 |
| 1548503840 | Constantine Pagonis | Internal Medicine | 350 West Wrentham Road, Cumberland, RI 02864 | 2013-04-04 |
| 1124366778 | Tina Deroy | Physical Therapist | 100 Chambers Street, Cumberland, RI 02864 | 2013-01-16 |
| 1437432689 | Concentra Primary Care Pa | Clinic/Center | 2140 Mendon Road, Suite 101a, Cumberland, RI 02864 | 2011-09-23 |
| 1245409978 | Kelly Ann Watier | Massage Therapist | 2180 Mendon Rd, Suite #32, Cumberland, RI 02864 | 2008-02-27 |
| 1003026725 | James Richard Ratcliffe | Dentist | 10 Chambers Street, Cumberland, RI 02864 | 2007-05-23 |
| 1184740706 | Paulo Jorge Da Rosa | Dentist | 20 Mill St., Suite #3, Cumberland, RI 02864 | 2007-03-22 |
| 1942325980 | Angeles V Felix | Dentist | 490 High St, Cumberland, RI 02864 | 2007-03-20 |
| Find all providers in zip 02864 | ||||
| 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 |
|---|---|---|---|---|
| 1407392954 | Megan Bosson | Physician Assistant | 6066 Cubbison Rd, Cumberland, OH 43732-9323 | 2017-01-09 |
| 1982691192 | Robert Francis Solarczyk | Physician Assistant | 940 Seton Dr, Cumberland, MD 21502-1818 | 2005-10-03 |
| 1215536008 | Jade Hensinger | Physician Assistant | 12502 Willowbrook Rd, Cumberland, MD 21502-6491 | 2020-10-22 |
| 1376161877 | Brian J Przybylowski | Physician Assistant | 12502 Willowbrook Rd Ste 470, Cumberland, MD 21502-6593 | 2020-07-10 |
| 1528688454 | Isaac Quinn Ducharme | Physician Assistant | 12502 Willowbrook Rd, Cumberland, MD 21502-6491 | 2020-04-21 |
| 1619502275 | Nicholas Pedersen | Physician Assistant | 1110 7th Ave, Cumberland, WI 54829-9138 | 2020-03-04 |
| 1609419126 | Carly Haffeman | Physician Assistant | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2019-10-28 |
| 1750940789 | Keeley Cook | Physician Assistant | 12502 Willowbrook Rd Ste 420, Cumberland, MD 21502-6567 | 2019-06-12 |
| 1477118149 | Samantha Jo Marino | Physician Assistant | 12502 Willowbrook Rd Ste 470, Cumberland, MD 21502-6593 | 2019-05-07 |
| 1801351978 | Anne P Nguyen | Physician Assistant | 12502 Willowbrook Rd, Cumberland, MD 21502-6491 | 2019-02-04 |
| Find all providers in CUMBERLAND | ||||
| City | CUMBERLAND |
| Zip Code | 02864 |
Please comment or provide details below to improve the information on JORDAN BENJAMIN RAHEB.
| 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.