Gary M Katzman
LIFESPAN PHYSICIAN GROUP INC


Address: 185 High Service Ave, North Providence, RI 02904-5114
Phone: 4013546050

Gary M Katzman (NPI# 1003839218, PAC ID# 3173510013) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).

Physician Overview

Nation Provider ID (NPI) 1003839218
PAC ID by PECOS 3173510013
Professional Enrollment ID I20040430000543
Full Name Gary M Katzman
Organization Legal Name LIFESPAN PHYSICIAN GROUP INC
Address 185 High Service Ave
North Providence
RI 02904-5114
Phone Number 4013546050
Gender M
Credential MD
Medical School WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1995
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Secondary Specialties INTERNAL MEDICINE
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
230066 MERCY HEALTH HACKLEY CAMPUS
410007 RHODE ISLAND HOSPITAL
230174 NORTH OTTAWA COMMUNITY HEALTH SYSTEM

Other Locations

Address Phone Organization
950 Warren Ave, Fl 2, East Providence, RI 02914-1432 4016061004 THE MIRIAM HOSPITAL
1212 E Sherman Blvd, Muskegon, MI 49444-1879 2316723500 MERCY HEALTH WESTSHORE CARDIOLOGY SERVICES
185 A High Service Ave, North Providence, RI 02904-5114 4013546050 LIFESPAN PHYSICIAN GROUP INC
185 High Service Ave, North Providence, RI 02904-5114 4013546050 LIFESPAN PHYSICIAN GROUP INC
164 Summit Ave, Providence, RI 02906-2853 LIFESPAN PHYSICIAN GROUP INC
208 Collyer St, Suite 100, Providence, RI 02904-1560 4017937191 THE MIRIAM HOSPITAL

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 185 HIGH SERVICE AVE
City NORTH PROVIDENCE
State RI
Zip 02904-5114

Physicians in the same location

Name Specialty Organization Address
Karl E Herman Internal Medicine Lifespan Physician Group Inc 185 High Service Ave, North Providence, RI 02904-5114
Muhammad Baig Internal Medicine Lifespan Physician Group Inc 185 High Service Ave, North Providence, RI 02904-5114
James M Atkinson Internal Medicine Lifespan Physician Group Inc 185 High Service Ave, North Providence, RI 02904-5114
Rachel A Sullivan Plastic and Reconstructive Surgery Lifespan Physician Group Inc 185 High Service Ave, North Providence, RI 02904-5114
Sherry A Demacedo Nurse Practitioner Lifespan Physician Group Inc 185 High Service Ave, North Providence, RI 02904-5114
Kwame Dapaah Afriyie Internal Medicine Lifespan Physician Group Inc 185 High Service Ave, North Providence, RI 02904-5114
Anne J Goldstein Nurse Practitioner Lifespan Physician Group Inc 185 High Service Ave, North Providence, RI 02904-5114
Shenjun Zhu Internal Medicine Lifespan Physician Group Inc 185 High Service Ave, North Providence, RI 02904-5114
Sylvester Sarfraz Geriatric Medicine Lifespan Physician Group Inc 185 High Service Ave, North Providence, RI 02904-5114
Claudio Renaldo Reader Internal Medicine Lifespan Physician Group Inc 185 High Service Ave, North Providence, RI 02904-5114
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

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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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