GWENN MARIA VITTIMBERGA (NPI# 1891796702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891796702 |
| Entity Type | Individual |
| Full Name | GWENN MARIA VITTIMBERGA |
| Credential | MD |
| Practice Address |
1180 Hope St Bristol RI 02809-1126 |
| Practice Telephone | 4012538900 |
| Practice Fax Number | 4012541093 |
| Mailing Telephone | 4012538900 |
| Mailing Fax Number | 4012541093 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2008-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD 7158 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 9020074 | 05 | |
| RI | UNITED HEALTH CARE | 03-00134 | 01 |
| RI | HARVARD PILGRIM HEALTH | 401452 | 01 |
| RI | BCHIP | 201972 | 01 |
| RI | NEIGHBORHOOD HEALTH | 3804 | 01 |
| RI | TUFTS | 007158 | 01 |
| RI | B/S | 20074-3 | 01 |
| Street Address |
1180 HOPE ST |
| City | BRISTOL |
| State | RI |
| Zip Code | 02809-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453431 | Geoffrey Robert Hamilton | Internal Medicine | 1180 Hope St, Bristol, RI 02809-1126 | 2005-08-02 |
| 1639793441 | Andrew Sakovits | Optometrist | 1180 Hope St, Bristol, RI 02809-1126 | 2020-06-08 |
| 1376049379 | Kara E Frade | Nurse Practitioner | 1180 Hope St, Bristol, RI 02809-1126 | 2018-03-30 |
| 1578924460 | Ana Paula Silva | Nurse Practitioner | 1180 Hope St, Bristol, RI 02809-1126 | 2016-03-19 |
| 1780937474 | Alexander Robert Pease | Pharmacist | 1180 Hope St, Bristol, RI 02809-1126 | 2012-10-18 |
| 1467712349 | Sarah M Riedo | Internal Medicine | 1180 Hope St, Bristol, RI 02809-1126 | 2012-05-24 |
| 1649544610 | Nicholas Paul Pelletier | Physician Assistant | 1180 Hope St, Bristol, RI 02809-1126 | 2012-03-08 |
| 1760769640 | John Wescott | Massage Therapist | 1180 Hope St, Bristol, RI 02809-1126 | 2011-11-07 |
| 1265721054 | Reuben Harel Reich | Dermatology | 1180 Hope St, Bristol, RI 02809-1126 | 2011-04-01 |
| 1518298272 | Maria Lola Cevallos Alomia | Internal Medicine | 1180 Hope St, Bristol, RI 02809-1126 | 2010-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598246068 | Maryann Bishop | Physical Therapist | 7 Creek Lane, Bristol, RI 02809 | 2018-08-23 |
| 1063913127 | Melanie Hopper Koppelman | Acupuncturist | Harbor Integrative Health, LLC, 60 Poppasquash Road, Bristol, RI 02809 | 2018-02-23 |
| 1871011478 | Ashley Hayes Pereira | Occupational Therapist | 31 Duffield Rd, Bristol, RI 02809 | 2017-09-03 |
| 1447792437 | Marguerite Peruto | Counselor | 10 Wardwell Street, Studio #4, Bristol, RI 02809 | 2016-11-08 |
| 1174829873 | Meghan Elizabeth Martorana | Dietitian, Registered | 685 Metacom Avenue, Bristol, RI 02809 | 2011-01-28 |
| 1881909794 | Hoffmann Chiropractic Inc | Chiropractor | 450 Hope Street, Bristol, RI 02809 | 2010-08-16 |
| 1558555961 | Michael James Allen | Dentist | 36 Bradford Street, Bristol, RI 02809 | 2007-08-29 |
| 1033309141 | Melinda Mary Allaire | Physical Therapist | 2 Ruth Ave, Bristol, RI 02809 | 2007-07-26 |
| 1033240726 | Emily Snow Delconte | Dietitian, Registered | 685 Metacom Ave, Bristol, RI 02809 | 2007-03-07 |
| 1881756203 | Warren Dental Associates Inc | Dentist | 634 Main Street, Warren, RI 02809 | 2006-12-14 |
| Find all providers in zip 02809 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841365681 | Glenn Stanton Gart | Dermatology | 255 North Main Street, Bristol, CT 06010 | 2006-11-21 |
| 1861497620 | Tanya Chiarelli Ave'lallemant | Dermatology | 72 Pine St, Unit 3, Bristol, CT 06010-6960 | 2005-06-17 |
| 1265721054 | Reuben Harel Reich | Dermatology | 1180 Hope St, Bristol, RI 02809-1126 | 2011-04-01 |
| 1871709147 | Grace Dolores Bandow | Dermatology | 1180 Hope St, Bristol, RI 02809-1126 | 2007-05-15 |
| 1962533661 | William J. Schermer Pllc | Dermatology | 3183 W State St, Suite 1102, Bristol, TN 37620-1712 | 2007-03-07 |
| 1467430231 | William John Schermer | Dermatology | 3183 W State St, Suite 1102, Bristol, TN 37620-1712 | 2006-01-03 |
| 1538161161 | Medical Associates of Ri Inc | Dermatology | 1180 Hope St, Bristol, RI 02809-1126 | 2005-08-12 |
| 1568463115 | Medical Associates of Rhode Island Inc. | Dermatology | 1180 Hope St, Bristol, RI 02809-1126 | 2005-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679054043 | Carlos G Wambier | Dermatology | 65 Village Square Dr Ste 201, South Kingstown, RI 02879-2292 | 2018-08-23 |
| 1689153454 | Maeve Riane Tobin | Dermatology | 333 School St Ste 112a, Pawtucket, RI 02860-5336 | 2018-08-12 |
| 1588082200 | Julia O. Baltz | Dermatology | 1672 S County Trl Ste 101, East Greenwich, RI 02818-5099 | 2014-03-31 |
| 1548685985 | Agape Medical Spa of Warwick, Inc | Dermatology | 49 Seekonk St Unit 3, Providence, RI 02906-5176 | 2014-02-21 |
| 1124382023 | Scott Hammerman | Dermatology | 50 Maude St Fl 1, Department of Dermatology and Skin Surgery, Providence, RI 02908-4325 | 2012-06-26 |
| 1356583439 | Caroline Chang | Dermatology | 5586 Post Rd Unit 6, East Greenwich, RI 02818-3454 | 2009-04-03 |
| 1497885719 | Louis A Fragola Jr Md Ltd | Dermatology | 1525 Wampanoag Trail, East Providence, RI 02915 | 2007-03-06 |
| 1215086988 | Laura Della Torre | Dermatology | 1539 Atwood Ave Ste 301, Providence, RI 02919-3262 | 2007-01-10 |
| 1518053271 | Nomate Toate Kpea | Dermatology | 43 Jefferson Boulevard, Suite #2, Warwick, RI 02888 | 2006-10-04 |
| 1457364382 | Candace S Lapidus | Dermatology | 5 Spinnaker Dr, Barrington, RI 02806-2831 | 2006-08-14 |
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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.