A WAKEFIELD WALK-IN & PRIMARY CARE LLC (NPI# 1962654426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962654426 |
| Entity Type | Organization |
| Organization Name | A WAKEFIELD WALK-IN & PRIMARY CARE LLC |
| Other Organization Name | BALD HILL WALK-IN |
| Practice Address |
553 Kingstown Rd Wakefield RI 02879-3600 |
| Practice Telephone | 4019325526 |
| Practice Fax Number | 4017891327 |
| Mailing Telephone | 4019325526 |
| Mailing Fax Number | 4017891327 |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2013-01-24 |
| Authorized Official Name | LLOYD B EDEN (OWNER) |
| Authorized Official Telephone | 4012841515 |
| Authorized Official Credential | PHYSICIAN ASSIST |
| Is Organization Subpart | Y |
| Parent Organization Name | A WAKEFILD WALK-IN & PRIMARY CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bald Hill Walk-In | Doing Business As Name - Organization |
| Street Address |
553 KINGSTOWN RD |
| City | WAKEFIELD |
| State | RI |
| Zip Code | 02879-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215995097 | Michael James Weaver | Family Medicine | 553 Kingstown Rd, Wakefield, RI 02879-3600 | 2006-05-02 |
| 1760983795 | J Riley Fowler Jr. | Nurse Practitioner | 553 Kingstown Rd, Wakefield, RI 02879-3600 | 2018-02-25 |
| 1124413190 | Alyssa Millar | Physician Assistant | 553 Kingstown Rd, Wakefield, RI 02879-3600 | 2015-04-06 |
| 1386041507 | Family Doctor Plus Ri LLC | Clinic/Center | 553 Kingstown Rd, Wakefield, RI 02879-3600 | 2014-12-03 |
| 1154459428 | Cameron Mckenna Biller | Physician Assistant | 553 Kingstown Rd, Wakefield, RI 02879-3600 | 2007-03-01 |
| 1972554053 | Michael Raymond Iannuccilli | Optometrist | 553 Kingstown Rd, Optometric Providers of Rhode Island, Inc, Wakefield, RI 02879-3600 | 2006-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831549435 | Bh Brightview Commons Opco, LLC | Alzheimer Center (Dementia Center) | 57 Grandeville Court, Wakefield, RI 02879 | 2016-06-15 |
| 1215392071 | Leslie Healy | Occupational Therapist | 12 Galleon Ct, Wakefield, RI 02879 | 2015-12-22 |
| 1649673799 | Peter Storti | Clinic/Center | 28 Columbia Street, Wakefield, RI 02879 | 2014-10-03 |
| 1285988790 | Silver Spring Health Care Management, Inc. | Physician Assistant | 70 Kenyon Ave Unit 321, Wakefield, RI 02879 | 2012-11-06 |
| 1013271584 | Amy Lee Barker | Speech-Language Pathologist | 213 Robinson Street, Wakefield, RI 02879 | 2012-06-29 |
| 1366708489 | Paige Houlihan | Student in an Organized Health Care Education/Training Program | 91 Rocky Brook Way St, Wakefield, RI 02879 | 2012-04-03 |
| 1639307176 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53 Dockray Street, Wakefield, RI 02879 | 2009-06-23 |
| 1649482233 | Marilyn A. Cooney | Speech-Language Pathologist | 307 Curtis Corner Road, Wakefield, RI 02879 | 2007-05-04 |
| 1518184522 | Keeley Therese Dante-card | Registered Nurse | 55 Cherry Lane, Wakefield, RI 02879 | 2007-04-19 |
| 1679799217 | Codac Inc | Peer Specialist | 350 Columbia St, Codac South County, Wakefield, RI 02879 | 2007-04-18 |
| Find all providers in zip 02879 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386041507 | Family Doctor Plus Ri LLC | Clinic/Center | 553 Kingstown Rd, Wakefield, RI 02879-3600 | 2014-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700420106 | Alexa S Gladstone | Clinic/Center | 333 School St # 112, Pawtucket, RI 02860-5334 | 2019-10-30 |
| 1437432689 | Concentra Primary Care Pa | Clinic/Center | 2140 Mendon Road, Suite 101a, Cumberland, RI 02864 | 2011-09-23 |
| 1568667848 | Wellnorth Medical LLC | Clinic/Center | 1630 Mineral Spring Ave, 2, North Providence, RI 02904-4025 | 2007-06-18 |
| 1235275207 | Summit Medical Group | Clinic/Center | 100 Highland Ave Ste 307, Providence, RI 02906-2753 | 2007-01-29 |
| 1174141345 | Stillwater Primary Care Ltd | Clinic/Center | 712 Putnam Pike Unit 2, Chepachet, RI 02814-1404 | 2020-07-14 |
| 1356965859 | Berghelli Internal Medicine, LLC | Clinic/Center | 2358 S County Trl, East Greenwich, RI 02818-1583 | 2020-06-01 |
| 1063984813 | Osh - Ri Physicians Group, PC | Clinic/Center | 300 Quaker Ln # C2-4, Warwick, RI 02886-0159 | 2018-12-18 |
| 1407222789 | Direct Doctors, Inc. | Clinic/Center | 320 Phillips St Ste 203, North Kingstown, RI 02852-5149 | 2015-08-20 |
| 1255606844 | Concentra Primary Care Pa | Clinic/Center | 400 Bald Hill Rd, Suite 511, Warwick, RI 02886-1617 | 2012-03-14 |
| 1548538473 | Primary Care Partners | Clinic/Center | 2756 Post Rd, Warwick, RI 02886-3003 | 2011-12-07 |
| Find all providers with the same taxonomy | ||||
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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.