Andrew H Griscom (NPI# 1538142328, PAC ID# 0143233833) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1538142328 |
| PAC ID by PECOS | 0143233833 |
| Professional Enrollment ID | I20060725000263 |
| Full Name | Andrew H Griscom |
| Organization Legal Name | EMERGENCY CARE SERVICES OF NEW ENGLAND PC |
| Address |
825 Chalkstone Ave Providence RI 02908-4728 |
| Phone Number | 4014562000 |
| Gender | M |
| Credential | MD |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1989 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9739487562 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 471304 | NORTH COUNTRY HOSPITAL AND HEALTH CENTER |
| 410005 | OUR LADY OF FATIMA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 825 Chalkstone Ave, Providence, RI 02908-4728 | 4014562000 | EMERGENCY CARE SERVICES OF NEW ENGLAND PC |
| Organization Legal Name | EMERGENCY CARE SERVICES OF NEW ENGLAND PC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daren Dennis Girard | Emergency Medicine | Emergency Care Services of New England PC | 200 High Service Ave, North Providence, RI 02904-5113 |
| Nakitta R Noel | Emergency Medicine | Emergency Care Services of New England PC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Susan L Collemer | Emergency Medicine | Emergency Care Services of New England PC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Andrew C Sechrest | Nurse Practitioner | Emergency Care Services of New England PC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Gerald F Dornhecker | Nurse Practitioner | Emergency Care Services of New England PC | 200 High Service Ave, North Providence, RI 02904-5113 |
| Michael John Garcia | Emergency Medicine | Emergency Care Services of New England PC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| David J Goldstein | Emergency Medicine | Emergency Care Services of New England PC | 200 High Service Ave, North Providence, RI 02904-5113 |
| Robert John Petrella | Emergency Medicine | Emergency Care Services of New England PC | 200 High Service Ave, North Providence, RI 02904-5113 |
| Anatoly Kazakin | Emergency Medicine | Emergency Care Services of New England PC | 200 High Service Ave, North Providence, RI 02904-5113 |
| Rita S Kurl | Emergency Medicine | Emergency Care Services of New England PC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Street Address |
825 CHALKSTONE AVE |
| City | PROVIDENCE |
| State | RI |
| Zip | 02908-4728 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd F Roberts | Medical Oncology | Prospect Chartercare Rwmc, LLC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Nakitta R Noel | Emergency Medicine | Emergency Care Services of New England PC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Vincent A Armenio | Internal Medicine | Prospect Chartercare Rwmc, LLC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Amit Kumar | Pathology | University Pathologists, LLC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Nathan L Barrington | Physician Assistant | Prospect Chartercare Rwmc, LLC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Dwight Taylor | Certified Registered Nurse Anesthetist (crna) | Narragansett Bay Anesthesia LLC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Mirela Stancu | Pathology | University Pathologists, LLC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Olga K Weinberg | Pathology | University Pathologists, LLC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Susan L Collemer | Emergency Medicine | Emergency Care Services of New England PC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Andrew C Sechrest | Nurse Practitioner | Emergency Care Services of New England PC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward T Gallucci | Chiropractic | 1337 Smith St, North Providence, RI 02908-1823 | |
| Sean Manchester | Clinical Social Worker | 19 Trinity Pkwy, Providence, RI 02908-1932 | |
| Nicholas Bruno | Physical Therapy | 667 Academy Ave, Providence, RI 02908-2105 | |
| John Charette | Clinical Social Worker | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Tara Mabel Brannon Bogs | Psychologist, Clinical | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Leah Elizabeth Shavalier | Psychologist, Clinical | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Catherine Hoefliger-gallo | Psychologist, Clinical | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Randi J Braunstein | Clinical Social Worker | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Michael D Brodeur | Psychologist, Clinical | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Terri Lupoli | Clinical Social Worker | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Find all physicians in zip 02908 | |||
| City | PROVIDENCE |
| Zip Code | 02908 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | PROVIDENCE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Andrew H Griscom.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.