LAURIE J GRAUEL (NPI# 1962456186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962456186 |
| Entity Type | Individual |
| Full Name | LAURIE J GRAUEL |
| Credential | MD |
| Practice Address |
1275 Wampanoag Trl Suite 200 Riverside RI 02915-1217 |
| Mailing Address |
17 Virginia Ave Suite 107 Providence RI 02905-4406 |
| Practice Telephone | 4014339880 |
| Practice Fax Number | 4014339838 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2012-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD06362 | RI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 52717 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
1275 WAMPANOAG TRL SUITE 200 |
| City | RIVERSIDE |
| State | RI |
| Zip Code | 02915-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316984636 | David A Herec | Internal Medicine | 1275 Wampanoag Trl, Suite 200, Riverside, RI 02915-1217 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881101335 | Brown Medicine | Clinic/Center | 62-68 Amaral Street, East Providence, RI 02915 | 2018-01-05 |
| 1093245391 | Robyn Lee Cranson | Pharmacist | 1086 Willet Ave, Rite Aid Pharmacy, Riverside, RI 02915 | 2017-06-19 |
| 1548703622 | Rebecca Leigh Bejma | Registered Nurse | 100 Bullocks Ave, East Providence, RI 02915 | 2016-11-22 |
| 1568833408 | Riverside Smiles Theodore I Goldberg, Dmd PC & Associates | Dentist | 250 Wampanoag Trail Suite 103, Riverside, RI 02915 | 2015-10-19 |
| 1003165796 | Sandra Cairo | Registered Nurse | 125 Bayview Ave, Riverside, RI 02915 | 2012-09-10 |
| 1487916136 | East Bay Community Action Program | Peer Specialist | 100 Bullocks Point, Riverside, RI 02915 | 2012-06-08 |
| 1497041453 | Bethany Marie Goldberg | Nurse Practitioner | 38 Amaral Street, Riverside, RI 02915 | 2011-06-28 |
| 1790078947 | Matthew Lynch | Internal Medicine | 375 Wampanoag Trl Ste 302a, Riverside, RI 02915 | 2011-05-20 |
| 1679866206 | Jill Stone | Occupational Therapist | 57 Euclid Ave, East Providence, RI 02915 | 2011-05-16 |
| 1770884462 | Kristin F. Cadieux | Nurse Practitioner | 375 Wampanoag Trl Ste 102, Riverside, RI 02915 | 2010-11-11 |
| Find all providers in zip 02915 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590971 | Javier R Rios Md, A Professional Corporation | Pediatrics | 6926 Brockton Ave Ste 4&7, Riverside, CA 92506-3800 | 2020-08-27 |
| 1295187003 | Sharon L. Bivins, M.d. | Pediatrics | 16743 Orville Wright Dr, Riverside, CA 92518-2928 | 2016-07-05 |
| 1831540715 | Hilary Christina Hoffmeister | Pediatrics | 41 Jones Park Dr, Riverside, CT 06878-2205 | 2016-06-22 |
| 1023453081 | Stacy Marie Catalon | Pediatrics | 19314 Jesse Ln, Riverside, CA 92508-5069 | 2013-05-05 |
| 1588935233 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 5549 Van Buren Blvd., Riverside, CA 92503-2068 | 2012-01-25 |
| 1497049126 | Nancy Nejman Fazzinga I | Pediatrics | 10 Newton St, Riverside, CT 06878-2010 | 2011-05-28 |
| 1457597247 | Natasha Denise White | Pediatrics | 1744 University Ave Ste 100, Riverside, CA 92507-5364 | 2008-12-28 |
| 1285887653 | Jennifer Elaine Rousseau | Pediatrics | 9041 Magnolia Ave Ste 305, Riverside, CA 92503-3957 | 2008-10-29 |
| 1063672160 | Beth Joy Rosenberg | Pediatrics | 1171 E Putnam Ave Ste 2b, Riverside, CT 06878-1426 | 2008-06-11 |
| 1639378748 | Adwoa P Osei | Pediatrics | Ucr Health Multispecialty, 3390 University Ave., Ste., 100, Riverside, CA 92501 | 2007-07-17 |
| Find all providers in RIVERSIDE | ||||
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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.