Halina Kuc-mazgaj
LIFESPAN PHYSICIAN GROUP INC


Address: 593 Eddy St, Providence, RI 02903-4923
Phone: 4014444000

Halina Kuc-mazgaj (NPI# 1003103185, PAC ID# 2769701408) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1003103185
PAC ID by PECOS 2769701408
Professional Enrollment ID I20150501000508
Full Name Halina Kuc-mazgaj
Organization Legal Name LIFESPAN PHYSICIAN GROUP INC
Address 593 Eddy St
Providence
RI 02903-4923
Phone Number 4014444000
Gender F
Graduation Year 2010
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 2567455082
Number of Group Practice Members 600
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
410012 THE MIRIAM HOSPITAL

Other Locations

Address Phone Organization
593 Eddy St, Providence, RI 02903-4923 4014444000 LIFESPAN PHYSICIAN GROUP INC

Organization Information

Organization Legal Name LIFESPAN PHYSICIAN GROUP INC
Physicians 560

Physicians with the same organization

Name Specialty Organization Address
Roy Souaid Internal Medicine Lifespan Physician Group Inc 1500 Pontiac Ave, Suite 101, Cranston, RI 02920-4486
Amritpal Singh Jawanda Family Medicine Lifespan Physician Group Inc 639 Metacom Ave, Warren, RI 02885-2348
Alisha Lakhani Rheumatology Lifespan Physician Group Inc 407 E Ave, Suite 250, Pawtucket, RI 02860-5290
Leah R Battista Obstetrics/gynecology Lifespan Physician Group Inc 148 W River St, Suite 1g, Providence, RI 02904-2615
Mahmoud Mowafy Internal Medicine Lifespan Physician Group Inc 164 Summit Ave, Providence, RI 02906-2853
Caroline Sizer Physical Medicine and Rehabilitation Lifespan Physician Group Inc 765 Allens Ave, Suite 110, Providence, RI 02905-5443
Christine Michele Leddy Psychiatry Lifespan Physician Group Inc 11 Friendship St, Newport, RI 02840-2209
Dana Siperstein Psychiatry Lifespan Physician Group Inc 167 Point St, Providence, RI 02903-4771
Brady Geronimo Case Psychiatry Lifespan Physician Group Inc 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061
Maurice Francis Joyce Iii Anesthesiology Lifespan Physician Group Inc 55 Lambert Lind Hwy, Warwick, RI 02886-1074

Office Location

Street Address 593 EDDY ST
City PROVIDENCE
State RI
Zip 02903-4923

Physicians in the same location

Name Specialty Organization Address
Keith Austin Scarfo Anesthesiology Rhode Island Hospital 593 Eddy St, Providence, RI 02903-4923
Julie Morris Psychologist, Clinical Lifespan Physician Group Inc 593 Eddy St, Providence, RI 02903-4923
Martha C Trimbur Internal Medicine Brown Medicine 593 Eddy St, Providence, RI 02903-4923
Regina B Monteiro Nurse Practitioner Lifespan Physician Group Inc 593 Eddy St, Apc 7, Providence, RI 02903-4923
Arnaldo Adolfo Berges Psychiatry Lifespan Physician Group Inc 593 Eddy St, Providence, RI 02903-4923
Gregory R Lockhart Pediatric Medicine Brown Emergency Medicine 593 Eddy St, Providence, RI 02903-4923
Peter W Wolferseder Certified Registered Nurse Anesthetist (crna) Lifespan Physician Group Inc 593 Eddy St, Providence, RI 02903-4923
Marie A Mills Certified Registered Nurse Anesthetist (crna) Lifespan Physician Group Inc 593 Eddy St, Providence, RI 02903-4923
Courtney Clark Bilodeau Internal Medicine Lifespan Physician Group Inc 593 Eddy St, Providence, RI 02903-4923
Christopher J Cureton Nurse Practitioner Brown Emergency Medicine 593 Eddy St, Providence, RI 02903-4923
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Name Specialty Organization Address
Jenny R Donahue Physical Therapy Episcopal Housing Foundation of Rhode Island 289 N Main St, Providence, RI 02903-1223
Paige Elizabeth Caffrey Occupational Therapy Fox Rehab of Ri PC 10 Dorrance St, Suite 700, Providence, RI 02903-2014
Marcy E Bernstein General Surgery Vohra Wound Physicians of Fl LLC 10 Dorrance St, Suite 700, Providence, RI 02903-2014
Sharon Ann Gapasin Qualified Speech Language Pathologist Fox Rehab of Ri PC 10 Dorrance St, Suite 700, Providence, RI 02903-2014
Michael David Bertoncini Physical Therapy Fox Rehab of Ri PC 10 Dorrance St, Suite 700, Providence, RI 02903-2014
Jonathan Sorensen Physical Therapy Fox Rehab of Ri PC 10 Dorrance St, Suite 700, Providence, RI 02903-2014
Ann Marie Rameika Nurse Practitioner Practitioner Support Services LLP 10 Dorrance St, Suite 700, Providence, RI 02903-2014
Amy Beth Ciarniello Physical Therapy Fox Rehab of Ri PC 10 Dorrance St, Suite 700, Providence, RI 02903-2014
Dina Mccamish Physical Therapy Fox Rehab of Ri PC 10 Dorrance St, Suite 700, Providence, RI 02903-2014
Alicia Marie Marshall Occupational Therapy Fox Rehab of Ri PC 10 Dorrance St, Suite 700, Providence, RI 02903-2014
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Competitor

Search similar physicians

City PROVIDENCE
Zip Code 02903
Specialty NURSE PRACTITIONER
City + Specialty PROVIDENCE + NURSE PRACTITIONER

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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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