MEDICAL & RENAL ASSO INC (NPI# 1831173301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831173301 |
| Entity Type | Organization |
| Organization Name | MEDICAL & RENAL ASSO INC |
| Practice Address |
250 Centerville Rd Warwick Executive Park Warwick RI 02886-4382 |
| Practice Telephone | 4017397380 |
| Practice Fax Number | 4017377558 |
| Mailing Telephone | 4017397380 |
| Mailing Fax Number | 4017377558 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. OWEN BERNARD GILMAN (PRESIDENT) |
| Authorized Official Telephone | 4017397380 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
250 CENTERVILLE RD WARWICK EXECUTIVE PARK |
| City | WARWICK |
| State | RI |
| Zip Code | 02886-4382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972504280 | Stephen Petteruti | Family Medicine | 250 Centerville Rd, Bldg E, Warwick, RI 02886-2778 | 2005-08-09 |
| 1386178747 | Shannon Petteruti | Nurse Practitioner | 250 Centerville Rd, Bldg E, Warwick, RI 02886-4400 | 2017-04-12 |
| 1326212515 | Kari Elizabeth Bandola | Physical Therapist | 250 Centerville Rd, Warwick, RI 02886-4382 | 2008-04-17 |
| 1417132549 | Petteruti Family Practice Inc | Family Medicine | 250 Centerville Rd, Building E, Warwick, RI 02886-4382 | 2008-01-08 |
| 1710969027 | Nelson J Chu | Internal Medicine | 250 Centerville Rd, Bldg. E, Warwick, RI 02886-4382 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694445 | Sheri Lynn Sklarz | Specialist | 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 | 2020-03-23 |
| 1316581424 | Dr. Degiulio & Associates Inc | Optometrist | 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 | 2019-10-31 |
| 1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
| 1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1538687520 | David A. Bennett | Registered Nurse | 2756 Post Road, Warwick, RI 02886 | 2017-08-30 |
| 1427585223 | Brittany Teixeira | Counselor | 85 Earl Street, Warwick, RI 02886 | 2017-05-11 |
| 1497125199 | Aiden Philip Cwynar | Optometrist | 1050 Centerville Road, Warwick, RI 02886 | 2015-10-07 |
| 1104221738 | Wilfredo L Sancianco Dmd Inc | Preferred Provider Organization | 3411 W Shiore Rd, Warwick, RI 02886 | 2014-10-24 |
| 1831508662 | Matthew Bryant Mitchell | Physical Therapist | 400 Bald Hill Rd #511, Warwick, RI 02886 | 2014-08-06 |
| Find all providers in zip 02886 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790975191 | Maroun E Azar | Internal Medicine | 250 Centerville Rd Bldg E, Warwick, RI 02886 | 2007-07-31 |
| 1710969027 | Nelson J Chu | Internal Medicine | 250 Centerville Rd, Bldg. E, Warwick, RI 02886-4382 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356738819 | Robert M Serra, Md | Internal Medicine | 19 Canyon Dr, Westerly, RI 02891-3814 | 2015-04-22 |
| 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 |
| 1770998338 | Manini Vishwanath | Internal Medicine | 318 Waterman Ave, East Providence, RI 02914 | 2014-06-23 |
| 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 |
| 1518109073 | Peter C Shorter | Internal Medicine | 70 Kenyon Ave, Suite 104, Wakefield, RI 02879-4239 | 2009-03-30 |
| 1457509556 | Marc Weinberg Md Personal Healthcare Ltd | Internal Medicine | 1 Randall Sq Ste 304, Providence, RI 02904-2773 | 2008-09-03 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.