Atip Chatsudthipong (NPI# 1508126590, PAC ID# 4082830856) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1508126590 |
| PAC ID by PECOS | 4082830856 |
| Professional Enrollment ID | I20180226001205 |
| Full Name | Atip Chatsudthipong |
| Organization Legal Name | ROGER WILLIAMS RADIATION THERAPY, LLC |
| Address |
207 Quaker Ln Fl 1 West Warwick RI 02893-2179 |
| Phone Number | 4018287110 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 3476658188 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410009 | KENT COUNTY MEMORIAL HOSPITAL |
| 410011 | LANDMARK MEDICAL CENTER |
| 410012 | THE MIRIAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 207 Quaker Ln, Fl 1, West Warwick, RI 02893-2179 | 4018287110 | ROGER WILLIAMS RADIATION THERAPY, LLC |
| Organization Legal Name | ROGER WILLIAMS RADIATION THERAPY, LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander L Lubin | Urology | Roger Williams Radiation Therapy, LLC | 207 Quaker Ln, Fl 1, West Warwick, RI 02893-2179 |
| Prakash B Chougule | Radiation Oncology | Roger Williams Radiation Therapy, LLC | 50 Maude St, Providence, RI 02908-4325 |
| Vincent A Catallozzi | Urology | Roger Williams Radiation Therapy, LLC | 191 Social St, 6th, Woonsocket, RI 02895-3240 |
| Alexandra Sherman | Radiation Oncology | Roger Williams Radiation Therapy, LLC | 50 Maude St, Providence, RI 02908-4325 |
| Joseph C Cambio | Urology | Roger Williams Radiation Therapy, LLC | 50 Maude St, Providence, RI 02908-4325 |
| Timothy D Shafman | Radiation Oncology | Roger Williams Radiation Therapy, LLC | 50 Maude St, Providence, RI 02908-4325 |
| Angelo J Cambio | Urology | Roger Williams Radiation Therapy, LLC | 50 Maude St, Providence, RI 02908-4325 |
| Joseph A. Cambio | Urology | Roger Williams Radiation Therapy, LLC | 191 Social St, 6th, Woonsocket, RI 02895-3240 |
| Angela K. Derobertis | Radiation Oncology | Roger Williams Radiation Therapy, LLC | 50 Maude St, Providence, RI 02908-4325 |
| Dora Clark | Physician Assistant | Roger Williams Radiation Therapy, LLC | 50 Maude St, Providence, RI 02908-4325 |
| Street Address |
207 QUAKER LN FL 1 |
| City | WEST WARWICK |
| State | RI |
| Zip | 02893-2179 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander L Lubin | Urology | Roger Williams Radiation Therapy, LLC | 207 Quaker Ln, Fl 1, West Warwick, RI 02893-2179 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon L Wilson | Chiropractic | 66 Tanglewood Dr, West Warwick, RI 02893-2018 | |
| Stephen J D Amato | Emergency Medicine | 211 Quaker Ln, West Warwick, RI 02893-2151 | |
| Francis R. Sparadeo | Psychologist, Clinical | 211 Quaker Lane, West Warwick, RI 02893-2151 | |
| Dmitry Meyerson | Psychologist, Clinical | 211 Quaker Ln, Suite 102, West Warwick, RI 02893-2151 | |
| James E Frenier | Physician Assistant | Stephen J D'amato Md PC | 211 Quaker Ln, West Warwick, RI 02893-2151 |
| Gina M Digati | Certified Clinical Nurse Specialist (cns) | 310 Cowesett Ave, West Warwick, RI 02893-2221 | |
| Andrew T Crellin | Chiropractic | 328 Cowesett Ave, Suite 8, West Warwick, RI 02893-2248 | |
| Richard F Jardon | Chiropractic | 328 Cowesett Ave, Suite 8, West Warwick, RI 02893-2248 | |
| Cathleen L Rooks | Physical Therapy | Sport and Spine Physical Therapy Inc | 328 Cowesett Ave, Suite 6, West Warwick, RI 02893-2248 |
| Jill Macaluso | Physical Therapy | Sport and Spine Physical Therapy Inc | 328 Cowesett Ave, Suite 6, West Warwick, RI 02893-2248 |
| Find all physicians in zip 02893 | |||
| City | WEST WARWICK |
| Zip Code | 02893 |
| Specialty | UROLOGY |
| City + Specialty | WEST WARWICK + UROLOGY |
Please comment or provide details below to improve the information on Atip Chatsudthipong.
| 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.