MICHAEL L CICCHESE (NPI# 1831366582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831366582 |
| Entity Type | Individual |
| Full Name | MICHAEL L CICCHESE |
| Credential | M.D. |
| Practice Address |
125 Metro Center Blvd Ste 200 Warwick RI 02886-1768 |
| Mailing Address |
125 Metro Center Blvd Ste 2000 Warwick RI 02886-1768 |
| Practice Telephone | 4014322520 |
| Practice Fax Number | 4014538220 |
| Mailing Telephone | 4014322520 |
| Mailing Fax Number | 4014538220 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2019-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
12926 | RI | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
235803 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
125 METRO CENTER BLVD STE 200 |
| City | WARWICK |
| State | RI |
| Zip Code | 02886-1768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336583277 | Boris Sinayuk | Radiology | 125 Metro Center Blvd Ste 200, Warwick, RI 02886-1768 | 2013-04-22 |
| 1912268780 | Dan Shilo | Radiology | 125 Metro Center Blvd Ste 200, Warwick, RI 02886-1768 | 2012-06-07 |
| 1780830562 | Lauren Aimee Florin | Radiology | 125 Metro Center Blvd Ste 200, Warwick, RI 02886-1768 | 2008-08-13 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346738424 | Hudson Valley Radiologists, PC | Radiology | 11 House Rd, Warwick, NY 10990-2444 | 2018-04-25 |
| 1073649653 | Jeffrey D Potter | Radiology | 31 Bay Lawn Ave, Warwick, RI 02888-2952 | 2007-02-26 |
| 1922062629 | Daniel Anthony Diprete | Radiology | 250 Toll Gate Rd, Warwick, RI 02886-4411 | 2006-04-12 |
| 1538150008 | Jerrold L Boxerman | Radiology | 125 Metro Center Blvd, Warwick, RI 02886-1768 | 2005-11-02 |
| 1134110604 | David P Neumann | Radiology | 125 Metro Center Bouelvard, Suite 2000, Warwick, RI 02886 | 2005-11-02 |
| 1598754426 | Richard B Noto | Radiology | 125 Metro Center Boulevard, Suite 2000, Warwick, RI 02886-1768 | 2005-10-13 |
| 1376531269 | Richard A Haas | Radiology | 125 Metro Center Boulevard Suite 2000, Warwick, RI 02886 | 2005-10-13 |
| 1356344089 | Vincent A Decesaris | Radiology | 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 | 2005-05-27 |
| 1275949414 | Monica L Roca | Radiology | 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 | 2014-07-09 |
| 1336583277 | Boris Sinayuk | Radiology | 125 Metro Center Blvd Ste 200, Warwick, RI 02886-1768 | 2013-04-22 |
| Find all providers in WARWICK | ||||
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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.