PROVIDENCE INTERVENTIONAL ASSOCIATES LLC (NPI# 1912207887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912207887 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE INTERVENTIONAL ASSOCIATES LLC |
| Other Organization Name | PROVIDENCE ACCESS CARE |
| Practice Address |
100 Highland Ave Providence RI 02906-2740 |
| Mailing Address |
40 Valley Stream Pkwy Ste 100 Attn: Credentialing Department Malvern PA 19355-1407 |
| Practice Telephone | 4012779729 |
| Mailing Telephone | 6106448900 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2018-03-21 |
| Authorized Official Name | JONAH LICHT (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 4012779729 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
PHS00009 | RI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Providence Access Care | Doing Business As Name - Organization |
| Street Address |
100 HIGHLAND AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-2740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670044 | Elizabeth L Altenhein | Surgery | 100 Highland Ave, Ste 308, Providence, RI 02906-2740 | 2005-06-21 |
| 1902292899 | University Pediatrics Dba Children's Medical Group | Nurse Practitioner | 100 Highland Ave, Suite 201, Providence, RI 02906-2740 | 2015-04-08 |
| 1063817963 | Stephanie Sachs | Massage Therapist | 100 Highland Ave, Suite 102, Providence, RI 02906-2740 | 2014-11-04 |
| 1972916229 | Community Health and Immunization Services | Community Health Worker | 100 Highland Ave, Suite 303, Providence, RI 02906-2753 | 2014-06-04 |
| 1851721740 | Passport Health Holdings LLC | Clinic/Center | 100 Highland Ave, Suite 303, Providence, RI 02906-2753 | 2013-11-14 |
| 1306274584 | Brianna Leigh Boulanger | Massage Therapist | 100 Highland Ave, Suite 102, Providence, RI 02906 | 2013-10-24 |
| 1306123476 | Providence Interventional Associates II LLC | Internal Medicine | 100 Highland Ave, Providence, RI 02906-2740 | 2011-11-03 |
| 1942528658 | Margaret M Dyer | Pediatrics | 100 Highland Ave, Providence, RI 02906-2740 | 2010-05-06 |
| 1043447097 | Vorawan Ummaritchot | Internal Medicine | 100 Highland Ave, Suite 203, Providence, RI 02906-2740 | 2009-06-17 |
| 1346442563 | Man Chin Chang | Internal Medicine | 100 Highland Ave, Suite 203, Providence, RI 02906-2740 | 2007-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497220412 | Providence Interventional Associates II LLC | Clinic/Center | 100 Highland Ave Ste 100, Providence, RI 02906-2740 | 2018-10-05 |
| 1033503420 | Spring Creek Surgical Center, LLC | Clinic/Center | 65 North Gateway Drive, Suite 3, Providence, UT 84332 | 2015-03-24 |
| 1437115086 | Wayland Square Surgicare Acquisition Lp | Clinic/Center | 17 Seekonk St, Providence, RI 02906-5125 | 2006-04-23 |
| 1790026854 | Dudley Street Operatory | Clinic/Center | 10 Bridge St, Providence, RI 02903-4362 | 2013-03-13 |
| 1609110188 | Ri Plastic Surgery Operatory | Clinic/Center | 10 Bridge St, Providence, RI 02903-4362 | 2012-11-21 |
| 1215057955 | Intermountain Spine and Pain Center | Clinic/Center | 286 N Gateway Dr, Providence, UT 84332-9733 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881101335 | Brown Medicine | Clinic/Center | 62-68 Amaral Street, East Providence, RI 02915 | 2018-01-05 |
| 1073039657 | University Orthopedics, Inc. | Clinic/Center | 1 Kettle Point Ave Ste 200, E Providence, RI 02914-5375 | 2017-08-16 |
| 1366764987 | Artistic Surgical Center | Clinic/Center | 1567 S County Trl, East Greenwich, RI 02818-1695 | 2010-02-23 |
| 1295906956 | The Ent Center of Rhode Island LLC | Clinic/Center | 55 Lambert Lind Hwy, Warwick, RI 02886-1175 | 2008-03-20 |
| 1730188327 | Soundview Orthopaedic Assoc. LLP | Clinic/Center | 101 Airport Rd, Westerly, RI 02891-3432 | 2005-07-18 |
| 1457898215 | Prospect Blackstone Valley Surgicare, LLC | Clinic/Center | 1526 Atwood Ave, Suite 300, Johnston, RI 02919-3289 | 2017-01-31 |
| 1215292719 | Artistic Contours LLC | Clinic/Center | 243 Jefferson Blvd, Warwick, RI 02888-3818 | 2012-07-10 |
| 1023399318 | Candescent Eye Surgicenter LLC | Clinic/Center | 444 Quaker Ln, Warwick, RI 02886-0185 | 2011-08-31 |
| 1548549900 | Spinal Therapeutics, LLC | Clinic/Center | 19 Friendship St, Ste G50, Newport, RI 02840-2200 | 2011-08-16 |
| 1811168164 | Urologic Specialists of New England LLC | Clinic/Center | 207 Quaker Ln, 1st Floor, West Warwick, RI 02893-2179 | 2008-03-14 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
Please comment or provide details below to improve the information on PROVIDENCE INTERVENTIONAL ASSOCIATES LLC.
| 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.