Norman Libbey (NPI# 1023021623, PAC ID# 2062518137) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1023021623 |
| PAC ID by PECOS | 2062518137 |
| Professional Enrollment ID | I20070523000703 |
| Full Name | Norman Libbey |
| Organization Legal Name | UNIVERSITY PATHOLOGISTS, LLC |
| Address |
825 Chalkstone Aveneu Providence RI 02908-4728 |
| Phone Number | 4014562109 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1974 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 4981780061 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410004 | ROGER WILLIAMS MEDICAL CENTER |
| 220020 | SAINT ANNE'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 825 Chalkstone Aveneu, Providence, RI 02908-4728 | 4014562109 | UNIVERSITY PATHOLOGISTS, LLC |
| 825 Chalkstone Aveneu, Roger Williams Med Ctr Path Dept, Providence, RI 02908-4728 | 4014562109 | UNIVERSITY PATHOLOGISTS, LLC |
| Organization Legal Name | UNIVERSITY PATHOLOGISTS, LLC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amit Kumar | Pathology | University Pathologists, LLC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Brian Mcmillen | Pathology | University Pathologists, LLC | 363 Highland Ave, Fall River, MA 02720-3703 |
| Jila Khorsand | Pathology | University Pathologists, LLC | 363 Highland Ave, Fall River, MA 02720-3703 |
| Mirela Stancu | Pathology | University Pathologists, LLC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Jennifer A Ahearn | Pathology | University Pathologists, LLC | 363 Highland Ave, Fall River, MA 02720-3703 |
| Olga K Weinberg | Pathology | University Pathologists, LLC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Catherine Breen | Pathology | University Pathologists, LLC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Kamyar Khazaeian | Pathology | University Pathologists, LLC | 43 High St, Wareham, MA 02571-2097 |
| James Russell Carlsten | Pathology | University Pathologists, LLC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Jiafan Qi | Pathology | University Pathologists, LLC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Street Address |
825 CHALKSTONE AVENEU |
| City | PROVIDENCE |
| State | RI |
| Zip | 02908-4728 |
| 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 | PATHOLOGY |
| City + Specialty | PROVIDENCE + PATHOLOGY |
Please comment or provide details below to improve the information on Norman Libbey.
| 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.