Ethan Prince
RHODE ISLAND MEDICAL IMAGING


Address: 1 Randall Sq, Providence, RI 02904-2709
Phone: 4012725500

Ethan Prince (NPI# 1306064563, PAC ID# 0749332237) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1306064563
PAC ID by PECOS 0749332237
Professional Enrollment ID I20090714000526
Full Name Ethan Prince
Organization Legal Name RHODE ISLAND MEDICAL IMAGING
Address 1 Randall Sq
Providence
RI 02904-2709
Phone Number 4012725500
Gender M
Medical School CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2000
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 8022097815
Number of Group Practice Members 93
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
410004 ROGER WILLIAMS MEDICAL CENTER
410007 RHODE ISLAND HOSPITAL
410012 THE MIRIAM HOSPITAL

Other Locations

Address Phone Organization
200 High Service Ave, North Providence, RI 02904-5113 4014322500 RHODE ISLAND MEDICAL IMAGING
1 Randall Sq, Providence, RI 02904-2709 4012725500 RHODE ISLAND MEDICAL IMAGING

Organization Information

Organization Legal Name RHODE ISLAND MEDICAL IMAGING
Physicians 93

Physicians with the same organization

Name Specialty Organization Address
Marcelle Piccolello Diagnostic Radiology Rhode Island Medical Imaging 1351 S County Trl Rte 2, E Greenwich, RI 02818-5079
Thaddeus Herliczek Diagnostic Radiology Rhode Island Medical Imaging 195 Collyer St, Providence, RI 02904-1869
Mark A Geist Diagnostic Radiology Rhode Island Medical Imaging 20 Catamore Blvd, E Providence, RI 02914-1204
Robert C Ward Diagnostic Radiology Rhode Island Medical Imaging 1351 S County Trl Rte 2, E Greenwich, RI 02818-5079
Glenn Tung Diagnostic Radiology Rhode Island Medical Imaging 1351 S County Trl Rte 2, E Greenwich, RI 02818-5079
David K Gunasti Diagnostic Radiology Rhode Island Medical Imaging 1351 S County Trl Rte 2, E Greenwich, RI 02818-5079
Guarav Jindal Diagnostic Radiology Rhode Island Medical Imaging 1351 S County Trl Rte 2, E Greenwich, RI 02818-5079
Heather Hardie Diagnostic Radiology Rhode Island Medical Imaging 211 Park St, Attleboro, MA 02703-3143
Hanan I Khalil Diagnostic Radiology Rhode Island Medical Imaging 1351 S County Trl Rte 2, E Greenwich, RI 02818-5079
David Neumann Diagnostic Radiology Rhode Island Medical Imaging 1351 S County Trl Rte 2, E Greenwich, RI 02818-5079

Office Location

Street Address 1 RANDALL SQ
City PROVIDENCE
State RI
Zip 02904-2709

Physicians in the same location

Name Specialty Organization Address
Phina A Mayu Nurse Practitioner The Providence Community Health Centers Inc. 1 Randall Sq, Providence, RI 02904-2709
Richard Watson Ophthalmology Massachusetts Eye and Ear Associates, Inc 1 Randall Sq, Suite 203, Providence, RI 02904-2773
Kely C Jeronimo Physician Assistant Rhode Island Medical Imaging 1 Randall Sq, Providence, RI 02904-2709
Gayge J Maggio Nurse Practitioner The Providence Community Health Centers Inc. 1 Randall Sq, Providence, RI 02904-2709
Jennifer J Raney Family Medicine The Providence Community Health Centers Inc. 1 Randall Sq, Providence, RI 02904-2709
John Paul A Abroguena Family Medicine The Providence Community Health Centers Inc. 1 Randall Sq, Providence, RI 02904-2709
Janelle M Bosse Physician Assistant Rhode Island Medical Imaging 1 Randall Sq, Providence, RI 02904-2709
Courtney L Jusino Nurse Practitioner The Providence Community Health Centers Inc. 1 Randall Sq, Providence, RI 02904-2709
Cynthia B Stewart Nurse Practitioner The Providence Community Health Centers Inc. 1 Randall Sq, Providence, RI 02904-2709
Eric E Boettjer Physician Assistant Rhode Island Medical Imaging 1 Randall Sq, Providence, RI 02904-2709
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Robert B Patterson Vascular Surgery 486 Silver Spring St, Providence, RI 02904-1556
Nishit Shah Colorectal Surgery (proctology) University Surgical Associates, Inc. 208 Collyer St, Suite 302, Providence, RI 02904-1560
Laurel A Gay Physician Assistant The Miriam Hospital 208 Collyer St, Suite 100, Providence, RI 02904-1560
Adam Klipfel Colorectal Surgery (proctology) University Surgical Associates, Inc. 208 Collyer St, Suite 302, Providence, RI 02904-1560
Fredric V Christian Cardiovascular Disease (cardiology) The Miriam Hospital 208 Collyer St, Suite 100, Providence, RI 02904-1560
Roger D Raymond Cardiovascular Disease (cardiology) The Miriam Hospital 208 Collyer St, Suite 100, Providence, RI 02904-1560
Michelle Kristen Finkelman Nurse Practitioner The Miriam Hospital 208 Collyer St, Suite 100, Providence, RI 02904-1560
Olivia Macaskill Nurse Practitioner The Miriam Hospital 208 Collyer St, Suite 100, Providence, RI 02904-1560
Susan P Emaus Physician Assistant The Miriam Hospital 208 Collyer St, Suite 100, Providence, RI 02904-1560
Kenneth S Korr Cardiovascular Disease (cardiology) The Miriam Hospital 208 Collyer St, Providence, RI 02904-1560
Find all physicians in zip 02904

Competitor

Search similar physicians

City PROVIDENCE
Zip Code 02904
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty PROVIDENCE + DIAGNOSTIC RADIOLOGY

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Dataset Information

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.

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