DR. CHARLES MICHAEL CAVICCHIO (NPI# 1871559500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871559500 |
| Entity Type | Individual |
| Full Name | DR. CHARLES MICHAEL CAVICCHIO |
| Credential | D.P.M. |
| Practice Address |
2 Wake Robin Rd Suite 203 Lincoln RI 02865-4241 |
| Practice Telephone | 4013129999 |
| Practice Fax Number | 4013120416 |
| Mailing Telephone | 4013129999 |
| Mailing Fax Number | 4013120416 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2008-02-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
DPM 206 | RI | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
DPM 206 | RI | Podiatric Medicine & Surgery Service Providers |
| Street Address |
2 WAKE ROBIN RD SUITE 203 |
| City | LINCOLN |
| State | RI |
| Zip Code | 02865-4241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649257056 | Daniel Walter Mulligan IIi | Physician Assistant | 2 Wake Robin Rd, Lincoln, RI 02865-4241 | 2005-12-28 |
| 1144773623 | Cavicchio Podiatry LLC | Podiatrist | 2 Wake Robin Rd, Unit 203, Lincoln, RI 02865-4295 | 2016-08-01 |
| 1245671445 | Ana Raquel Pereira | Registered Nurse | 2 Wake Robin Rd, Lincoln, RI 02865-4295 | 2013-07-16 |
| 1174878862 | Elizabeth Lynn Johnson | Physical Therapist | 2 Wake Robin Rd, Lincoln, RI 02865-4295 | 2012-07-18 |
| 1538393731 | D & H Therapy Associates | Clinic/Center | 2 Wake Robin Rd, Lincoln, RI 02865-4241 | 2009-05-04 |
| 1528209335 | Jonathan Hamilton Martin | Internal Medicine | 2 Wake Robin Rd, Lincoln, RI 02865-4241 | 2009-03-09 |
| 1639357148 | Charles M Cavicchio, Dpm | Clinic/Center | 2 Wake Robin Rd, Suite 203, Lincoln, RI 02865-4241 | 2008-02-06 |
| 1629252317 | Cheryl Flynn Md Inc | Pediatrics | 2 Wake Robin Rd, Suite 202, Lincoln, RI 02865-4241 | 2007-12-18 |
| 1770615932 | Robin Louise Pino | Physical Therapist | 2 Wake Robin Rd, D & H Therapy Associates LLC, Lincoln, RI 02865-4241 | 2007-03-12 |
| 1427189018 | Sharna B Rattey | Physical Therapist | 2 Wake Robin Rd, Lincoln, RI 02865-4241 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346749868 | Ckri Incorporated | In Home Supportive Care | 1525 Old Louisquissett Pike, C201, Lincoln, RI 02865 | 2018-02-10 |
| 1053824805 | Daniel Boulanger | Specialist/Technologist | 1762 Louisquisset Pike, Lincoln, RI 02865 | 2017-11-14 |
| 1013449677 | Daniel Gardner | Physical Therapist | 618 George Washington Hwy, Lincoln, RI 02865 | 2017-03-31 |
| 1801335138 | Lucille Ellen Plasse | Registered Nurse | 19 Old Great Road, Lincoln, RI 02865 | 2017-02-20 |
| 1558752014 | Northern Rhode Island Cognitive Behavioral Therapy Inc | Social Worker | 640 George Washington Hwy Ste 103, Lincoln, RI 02865 | 2015-02-05 |
| 1528313004 | Sandra Faria | Counselor | 1525 Old Louisquisset Pike Ste B104, Lincoln, RI 02865 | 2012-07-19 |
| 1982832671 | Deborah F Katcher-buckley | Nurse Practitioner | 2 Wake Robin Rd Unit 201, Lincoln, RI 02865 | 2009-07-01 |
| 1558541011 | Dawn Marie Maguire | Social Worker | 640 George Washington Hwy Ste, Bdg B, Ste 103, Lincoln, RI 02865 | 2007-11-13 |
| 1477675262 | Rhode Island Hospital | Internal Medicine | 701 George Washington Hwy Ste 100, Lincoln, RI 02865 | 2007-04-04 |
| 1083789218 | Thomas Patrick Hines | Pediatrics | 6 Blackstone Valley Place Suite 306b, Lincoln, RI 02865 | 2006-11-22 |
| Find all providers in zip 02865 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144773623 | Cavicchio Podiatry LLC | Podiatrist | 2 Wake Robin Rd, Unit 203, Lincoln, RI 02865-4295 | 2016-08-01 |
| 1730325390 | Trotter Enterprises Inc | Podiatrist | 1001 S 70th St Ste 100, Lincoln, NE 68510-7901 | 2008-12-31 |
| 1699950022 | Lynn M Dennis Dennis Foot and Ankle Center | Podiatrist | 604 N Union St Ste 2, Lincoln, IL 62656-1578 | 2008-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326149634 | Angelo J Bigelli | Podiatrist | 464 Smithfield Rd, North Providence, RI 02904-4238 | 2006-09-26 |
| 1891799482 | David J Caldarella | Podiatrist | 120 Centerville Rd, Warwick, RI 02886-4336 | 2005-06-10 |
| 1871049429 | Orthopedics Rhode Island, Inc | Podiatrist | 120 Centerville Road, Warwick, RI 02886 | 2016-09-01 |
Please comment or provide details below to improve the information on DR. CHARLES MICHAEL CAVICCHIO.
| 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.