LANDMARK MEDICAL CENTER (NPI# 1982681060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982681060 |
| Entity Type | Organization |
| Organization Name | LANDMARK MEDICAL CENTER |
| Other Organization Name | LANDMARK MC NUCLEAR MED DEPT. |
| Practice Address |
115 Cass Ave Woonsocket RI 02895-4705 |
| Mailing Address |
196 Cass Ave Woonsocket RI 02895-4712 |
| Practice Telephone | 4017694100 |
| Practice Fax Number | 4017691744 |
| Mailing Telephone | 4017694100 |
| Mailing Fax Number | 4017656024 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARY MACINTOSH (SVP/CFO) |
| Authorized Official Telephone | 4017694100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207U00000X | Nuclear Medicine | 00117 | RI | Allopathic & Osteopathic Physicians |
| X | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
00117 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS HEALTH PLAN (IP) | 903289 | 01 |
| RI | BLUE SHIELD/BLUE CHIP | 0000006491 | 01 |
| MA | TUFTS HEALTH PLAN (OP) | 903288 | 01 |
| RI | 9006491 | 05 |
| Other Name | Type Code |
|---|---|
| Landmark MC Nuclear Med Dept. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073722005 | Landmark Medical Center | Psychiatric Residential Treatment Facility | 2030 N Garey Ave, Pomona, CA 91767-2722 | 2007-05-22 |
| 1942412002 | Landmark Medical Center | Clinical Neuropsychologist | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2007-05-03 |
| 1043297112 | Landmark Medical Center | Internal Medicine | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2005-12-29 |
| 1619954724 | Landmark Medical Center | Preventive Medicine | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2005-12-29 |
| 1285611392 | Landmark Medical Center | Nurse Practitioner | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2005-12-29 |
| 1629055751 | Landmark Medical Center | Pathology | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2005-12-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LANDMARK MEDICAL CENTER | 115 Cass Ave, Woonsocket, RI 02895-4705 |
| Street Address |
115 CASS AVE |
| City | WOONSOCKET |
| State | RI |
| Zip Code | 02895-4705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114900024 | Glenn G. Fort | Internal Medicine | 115 Cass Ave, Landmark Medical Center, Woonsocket, RI 02895 | 2005-11-23 |
| 1407462955 | Alexandra Leigh Cataldo | Registered Nurse | 115 Cass Ave, Woonsocket, RI 02895-4731 | 2020-09-21 |
| 1568078434 | Abdessamad El Adnani | Student in an Organized Health Care Education/Training Program | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2020-09-16 |
| 1366078206 | Ethan Richard Manos | Physician Assistant | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2020-03-22 |
| 1972148047 | Leanne Benson | Advanced Practice Midwife | 115 Cass Ave, Woonsocket, RI 02895-4731 | 2019-11-13 |
| 1962055004 | Prime Healthcare Services - Landmark,llc | Pharmacy | 115 Cass Ave, Woonsocket, RI 02895-4731 | 2019-07-18 |
| 1992367734 | Sean Mitchell Conger | Physician Assistant | 115 Cass Ave, Woonsocket, RI 02895-4731 | 2019-07-02 |
| 1811457583 | Kenneth Charles Baris Jr. | Physician Assistant | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2019-03-20 |
| 1366920217 | Carla Angela Salvadore | Nurse Practitioner | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2018-08-02 |
| 1578097143 | Jennifer Fix | Nurse Practitioner | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2017-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730732017 | Karissa Cardoso | Behavior Technician | 36 Cleveland Street, Apt 1, Woonsocket, RI 02895 | 2019-07-16 |
| 1841714177 | Richard Keith Polacek | Behavioral Analyst | 30 Cumberland St., Woonsocket, RI 02895 | 2017-07-28 |
| 1912353335 | Muria Irine Nisbett | Social Worker | 4 Gaulin Ave., Floor 4, Woonsocket, RI 02895 | 2016-05-05 |
| 1083046833 | Shaylyn Kathleen Mcteague | Podiatrist | 20 Cumberland Hill Rd Unit 210, Woonsocket, RI 02895 | 2013-08-04 |
| 1902243165 | David J. Ward Dmd, PC | Dentist | 460 S. Main St., Woonsocket, RI 02895 | 2013-05-29 |
| 1073876256 | Patricia J Corbett | Social Worker | 181 Cumberland St # 301, Woonsocket, RI 02895 | 2012-06-21 |
| 1114206521 | Patricia Nievez Alvarez | Social Worker | 181 Cumberland St Ste 301, Woonsocket, RI 02895 | 2011-08-16 |
| 1891082970 | Ann Katherine Maccarone | Speech-Language Pathologist | 1 Cumberland St., Woonoscket, RI 02895 | 2011-07-08 |
| 1043507734 | Infectious Diseases Associates of Rhode Island | Internal Medicine | 115 Cass Avenue - 3rd Floor, C/o Landmark Medical, Woonsocket, RI 02895 | 2011-07-01 |
| 1740577543 | Michelle Marie Durand Straube | Optometrist | 385 Mendon Road, Woonsocket, RI 02895 | 2011-06-30 |
| Find all providers in zip 02895 | ||||
| Taxonomy Code | 207U00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Nuclear Medicine, 2007. http://www.abnm.org/. A doctor of osteopathy was able to obtain a Certificate of Added Qualifications in the field of Nuclear Medicine. The Certificate is NO longer offered. - American Osteopathic Board of Nuclear Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588062657 | Advogenex Inc | Nuclear Medicine | 247 Oaklawn Ave, Cranston, RI 02920-3822 | 2014-12-05 |
| 1306823307 | Northern Ri Rehab Management Associates Lp | Nuclear Medicine | 116 Eddie Dowling Hwy, North Smithfield, RI 02896-7327 | 2005-12-30 |
| City | WOONSOCKET |
| Zip Code | 02895 |
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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.