Andre Covacha (NPI# 1265800023, PAC ID# 4385953181) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1265800023 |
| PAC ID by PECOS | 4385953181 |
| Professional Enrollment ID | I20151019000297 |
| Full Name | Andre Covacha |
| Organization Legal Name | OCEAN STATE URGENT CARE CENTER OF SMITHFIELD LLC |
| Address |
400 Putnam Pike Smithfield RI 02917-2408 |
| Phone Number | 4017576160 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4688816135 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| 410004 | ROGER WILLIAMS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 310 Maple Ave, Barrington, RI 02806-3430 | 4019030300 | OCEAN STATE URGENT CARE CENTER OF BARRINGTON, LLC |
| 200 High Service Ave, North Providence, RI 02904-5113 | 4014322500 | RHODE ISLAND MEDICAL IMAGING |
| 1 Randall Sq, Providence, RI 02904-2709 | 4012725500 | RHODE ISLAND MEDICAL IMAGING |
| 400 Putnam Pike, Smithfield, RI 02917-2408 | 4017576160 | OCEAN STATE URGENT CARE CENTER OF SMITHFIELD LLC |
| Organization Legal Name | OCEAN STATE URGENT CARE CENTER OF SMITHFIELD LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donn Quinn | Family Medicine | Ocean State Urgent Care Center of Smithfield LLC | 400 Putnam Pike, Smithfield, RI 02917-2408 |
| Amy G Lafontaine | Physician Assistant | Ocean State Urgent Care Center of Smithfield LLC | 400 Putnam Pike, Smithfield, RI 02917-2408 |
| Street Address |
400 PUTNAM PIKE |
| City | SMITHFIELD |
| State | RI |
| Zip | 02917-2408 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donn Quinn | Family Medicine | Ocean State Urgent Care Center of Smithfield LLC | 400 Putnam Pike, Smithfield, RI 02917-2408 |
| David Pavao | Physical Therapy | Silver Fern Practice, LLC | 400 Putnam Pike, Suite E, Smithfield, RI 02917-2408 |
| Amy G Lafontaine | Physician Assistant | Ocean State Urgent Care Center of Smithfield LLC | 400 Putnam Pike, Smithfield, RI 02917-2408 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven J Dantonio | Chiropractic | 305 Farnum Pike, Smithfield, RI 02917-1205 | |
| Peter C Brasch | Ophthalmology | 1 Thurber Blvd, Smithfield, RI 02917-1826 | |
| Mary Kay Uchmanowicz | Qualified Audiologist | 151 Douglas Pike, Suite 1, Smithfield, RI 02917-2379 | |
| Lorri M Haber-diboni | Chiropractic | 14 Cedar Swamp Rd, Smithfield, RI 02917-2448 | |
| Keith A Perry | Anesthesiology | 14 Cedar Swamp Rd, Smithfield, RI 02917-2448 | |
| John Pugliese | Optometry | Pugliese Family Eye Care, 41 Sanderson Road Suite 203, Smithfield, RI 02917-2602 | |
| Deborah J Thomas | Physician Assistant | Coastal Medical Inc | 41 Sanderson Rd, Suite 201, Smithfield, RI 02917-2603 |
| Deanna Wall | Physician Assistant | Coastal Medical Inc | 41 Sanderson Rd, Suite 205, Smithfield, RI 02917-2603 |
| Lauren De Leon | Internal Medicine | Coastal Medical Inc | 41 Sanderson Rd, Suite 201, Smithfield, RI 02917-2603 |
| Meridith L Malysz | Nurse Practitioner | Coastal Medical Inc | 41 Sanderson Rd, Suite 201, Smithfield, RI 02917-2603 |
| Find all physicians in zip 02917 | |||
| City | SMITHFIELD |
| Zip Code | 02917 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SMITHFIELD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Andre Covacha.
| 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.