Daniel T Shreve (NPI# 1134239767, PAC ID# 4284690538) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1134239767 |
| PAC ID by PECOS | 4284690538 |
| Professional Enrollment ID | I20041208000317 |
| Full Name | Daniel T Shreve |
| Organization Legal Name | OCEAN STATE PRIMARY CARE CENTER OF EAST PROVIDENCE INC |
| Address |
450 Veterans Memorial Pkwy Unit 15b East Providence RI 02914-5300 |
| Phone Number | 4014343350 |
| Gender | M |
| Credential | MD |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1962 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4082974233 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 450 Veterans Memorial Pkwy, Unit 15b, East Providence, RI 02914-5300 | 4014343350 | OCEAN STATE PRIMARY CARE CENTER OF EAST PROVIDENCE INC |
| Organization Legal Name | OCEAN STATE PRIMARY CARE CENTER OF EAST PROVIDENCE INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marykate Dunleavy | Physician Assistant | Ocean State Primary Care Center of East Providence Inc | 450 Veterans Memorial Pkwy, Unit 15b, East Providence, RI 02914-5300 |
| Richard M Bianco | Family Medicine | Ocean State Primary Care Center of East Providence Inc | 450 Veterans Memorial Pkwy, Unit 15b, East Providence, RI 02914-5300 |
| Andrew Rego | Physician Assistant | Ocean State Primary Care Center of East Providence Inc | 450 Veterans Memorial Pkwy, Unit 15b, East Providence, RI 02914-5300 |
| Anthony Kyle Sampino | Family Medicine | Ocean State Primary Care Center of East Providence Inc | 450 Veterans Memorial Pkwy, Unit 15b, East Providence, RI 02914-5300 |
| Street Address |
450 VETERANS MEMORIAL PKWY UNIT 15B |
| City | EAST PROVIDENCE |
| State | RI |
| Zip | 02914-5300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Delconte | Registered Dietitian Or Nutrition Professional | Evolution Nutrition Inc | 450 Veterans Memorial Pkwy, 8c, East Providence, RI 02914-5300 |
| Jorge J Rivera | Ophthalmology | Eye Consultants of Rhode Island Ltd. | 450 Veterans Memorial Pkwy, Suite 504, East Providence, RI 02914-5300 |
| Ann M Garris | Nurse Practitioner | Coastal Medical Inc | 450 Veterans Memorial Pkwy, Suite 4, East Providence, RI 02914-5300 |
| Sarah Dorothy Mosley | Registered Dietitian Or Nutrition Professional | Evolution Nutrition Inc | 450 Veterans Memorial Pkwy, 8c, East Providence, RI 02914-5300 |
| Meghan E Martorana | Registered Dietitian Or Nutrition Professional | Evolution Nutrition Inc | 450 Veterans Memorial Pkwy, 8c, East Providence, RI 02914-5300 |
| Joyce Alves | Family Medicine | Coastal Medical Inc | 450 Veterans Memorial Pkwy, Suite 4, East Providence, RI 02914-5300 |
| Christine Kennedy | Family Medicine | Coastal Medical Inc | 450 Veterans Memorial Pkwy, Suite 4, East Providence, RI 02914-5300 |
| Barbara W Jablow | Family Medicine | Coastal Medical Inc | 450 Veterans Memorial Pkwy, Suite 4, East Providence, RI 02914-5300 |
| Christina Ashley Bedetta Willett | Registered Dietitian Or Nutrition Professional | Evolution Nutrition Inc | 450 Veterans Memorial Pkwy, 8c, East Providence, RI 02914-5300 |
| Laura Elizabeth Dutra | Registered Dietitian Or Nutrition Professional | Evolution Nutrition Inc | 450 Veterans Memorial Pkwy, 8c, East Providence, RI 02914-5300 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Geist | Diagnostic Radiology | Rhode Island Medical Imaging | 20 Catamore Blvd, E Providence, RI 02914-1204 |
| Miranda R Wing | Nurse Practitioner | Avenir Ventures LLC | 1 Catamore Blvd, East Providence, RI 02914-1228 |
| Elisabeth M Butler | Nurse Practitioner | Avenir Ventures LLC | 1 Catamore Blvd, East Providence, RI 02914-1228 |
| Donna Zaken | Nurse Practitioner | Avenir Ventures LLC | 1 Catamore Blvd, East Providence, RI 02914-1228 |
| Judith S Bessoff | Nurse Practitioner | Avenir Ventures LLC | 1 Catamore Blvd, East Providence, RI 02914-1228 |
| Marta E Rosol | Clinical Social Worker | 1018 Waterman Ave, East Providence, RI 02914-1318 | |
| Constantine Vafidis | Family Medicine | Primary Medical Center and Walk-in LLC | 684 Warren Ave, East Providence, RI 02914-1405 |
| Martha Ragsdale | Physical Therapy | Healy Physical Therapy and Sports Medicine Inc | 927 B Warren Ave, East Providence, RI 02914-1423 |
| Sterling Saint | Physical Therapy | Healy Physical Therapy and Sports Medicine Inc | 927 B Warren Ave, East Providence, RI 02914-1423 |
| Jacqueline Finn | Physical Therapy | Healy Physical Therapy and Sports Medicine Inc | 927 B Warren Ave, East Providence, RI 02914-1423 |
| Find all physicians in zip 02914 | |||
| City | EAST PROVIDENCE |
| Zip Code | 02914 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | EAST PROVIDENCE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Daniel T Shreve.
| 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.