Joan T Wildenhain (NPI# 1720073455, PAC ID# 1658415823) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1720073455 |
| PAC ID by PECOS | 1658415823 |
| Professional Enrollment ID | I20100225000817 |
| Full Name | Joan T Wildenhain |
| Organization Legal Name | SOUTHCOAST PHYSICIANS GROUP, INC.. |
| Address |
1076 N Main St Southcoast Physicians Services Inc.. Providence RI 02904-5709 |
| Phone Number | 4012732460 |
| Gender | F |
| Graduation Year | 1998 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0749171957 |
| Number of Group Practice Members | 555 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220074 | SOUTHCOAST HOSPITALS GROUP |
| Address | Phone | Organization |
|---|---|---|
| 1076 N Main St, Southcoast Physicians Services Inc.., Providence, RI 02904-5709 | 4012732460 | SOUTHCOAST PHYSICIANS GROUP, INC.. |
| 479 Swansea Mall Dr, Swansea, MA 02777-4119 | 5089731570 | SOUTHCOAST PHYSICIANS GROUP, INC.. |
| Organization Legal Name | SOUTHCOAST PHYSICIANS GROUP, INC.. |
| Physicians | 576 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara Elizabeth Charnecki | Family Medicine | Southcoast Physicians Group, Inc.. | 1334 Main Rd, Tiverton, RI 02878-4425 |
| Jessica Lynn Keough | Nurse Practitioner | Southcoast Physicians Group, Inc.. | 480 Hawthorn St, North Dartmouth, MA 02747-3729 |
| Jeffrey Bird | Hospitalist | Southcoast Physicians Group, Inc.. | 101 Page St, New Bedford, MA 02740-3464 |
| Ernesto Gabriel Gonzalez | Obstetrics/gynecology | Southcoast Physicians Group, Inc.. | 543 N St, New Bedford, MA 02740-2782 |
| Kathryn Young Noonan | Otolaryngology | Southcoast Physicians Group, Inc.. | 299 Faunce Corner Rd, North Dartmouth, MA 02747-1218 |
| Sarah Anne Crowley | Nurse Practitioner | Southcoast Physicians Group, Inc.. | 300 A Faunce Corner Rd, Suite 200, North Dartmouth, MA 02747-1280 |
| Kara J. Kopaczewski | Family Medicine | Southcoast Physicians Group, Inc.. | 49 State Road Pequot Bldg, North Dartmouth, MA 02747-3322 |
| Stephanie L Pine | Nurse Practitioner | Southcoast Physicians Group, Inc.. | 2421 Cranberry Hwy, Suite 202, Wareham, MA 02571-5032 |
| Allan Mabardy | General Surgery | Southcoast Physicians Group, Inc.. | 300 B Faunce Corner Rd, Suite 101, North Dartmouth, MA 02747-1257 |
| Jennifer Lynn Bento | Nurse Practitioner | Southcoast Physicians Group, Inc.. | 37 Commerce Way, Seekonk, MA 02771-5816 |
| Street Address |
1076 N MAIN ST SOUTHCOAST PHYSICIANS SERVICES INC.. |
| City | PROVIDENCE |
| State | RI |
| Zip | 02904-5709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph T Lifrak | Orthopedic Surgery | Southcoast Physicians Group, Inc.. | 1076 N Main St, Southcoast Physicians Services Inc.., Providence, RI 02904-5709 |
| Christopher N Chihlas | Orthopedic Surgery | Southcoast Physicians Group, Inc.. | 1076 N Main St, Southcoast Physicians Services Inc.., Providence, RI 02904-5709 |
| Jeffrey Clement | Nephrology | Hypertension and Nephrology, Inc. | 1076 N Main St, Providence, RI 02904-5760 |
| John Cava | Cardiovascular Disease (cardiology) | Southcoast Physicians Group, Inc.. | 1076 N Main St, Southcoast Physicians Services Inc.., Providence, RI 02904-5709 |
| Richard Cottiero | Nephrology | Hypertension and Nephrology, Inc. | 1076 N Main St, Providence, RI 02904-5760 |
| Keith R Bartolomei | Nephrology | Hypertension and Nephrology, Inc. | 1076 N Main St, Providence, RI 02904-5760 |
| Josef Edrik Keith Bautista | Nephrology | Hypertension and Nephrology, Inc. | 1076 N Main St, Providence, RI 02904-5760 |
| Jamsheed B Vakharia | General Surgery | Southcoast Physicians Group, Inc.. | 1076 N Main St, Southcoast Physicians Services Inc.., Providence, RI 02904-5709 |
| Elkin Estrada | Nephrology | Hypertension and Nephrology, Inc. | 1076 N Main St, Providence, RI 02904-5760 |
| Maureen A Chung | General Surgery | Southcoast Physicians Group, Inc.. | 1076 N Main St, Southcoast Physicians Services Inc.., Providence, RI 02904-5709 |
| Find all physicians in the same address | |||
| 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 | |||
| City | PROVIDENCE |
| Zip Code | 02904 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PROVIDENCE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Joan T Wildenhain.
| 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.