Kristin J Macdougall (NPI# 1093000325, PAC ID# 4486940335) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1093000325 |
| PAC ID by PECOS | 4486940335 |
| Professional Enrollment ID | I20160901001800 |
| Full Name | Kristin J Macdougall |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Address |
407 E Ave Suite 250 Pawtucket RI 02860-5290 |
| Phone Number | 4013512280 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | RHEUMATOLOGY |
| Group Practice PAC ID | 2567455082 |
| Number of Group Practice Members | 600 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| 410007 | RHODE ISLAND HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 407 E Ave, Suite 250, Pawtucket, RI 02860-5290 | 4013512280 | LIFESPAN PHYSICIAN GROUP INC |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Physicians | 560 |
| 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 |
| Street Address |
407 E AVE SUITE 250 |
| City | PAWTUCKET |
| State | RI |
| Zip | 02860-5290 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alisha Lakhani | Rheumatology | Lifespan Physician Group Inc | 407 E Ave, Suite 250, Pawtucket, RI 02860-5290 |
| Madhavi Naga Yerneni | Internal Medicine | University Internal Medicine Inc | 407 E Ave, Suite 120, Pawtucket, RI 02860-5299 |
| Denise L Leclaire | Physical Therapy | Whole Health Physical Therapy | 407 E Ave, Suite 150, Pawtucket, RI 02860-5299 |
| Antony Fu-chin Chu | Cardiac Electrophysiology | Lifespan Physician Group Inc | 407 E Ave, Pawtucket, RI 02860-5290 |
| Patricia N Soscia | Rheumatology | Lifespan Physician Group Inc | 407 E Ave, Pawtucket, RI 02860-5290 |
| Eirini Apostolidou | Cardiovascular Disease (cardiology) | Lifespan Physician Group Inc | 407 E Ave, Pawtucket, RI 02860-5290 |
| Anthony George Thomas | Hematology/oncology | Rhode Island Hospital | 407 E Ave, Suite 200, Pawtucket, RI 02860-5282 |
| Christine Victoria Herbert | Internal Medicine | University Internal Medicine Inc | 407 E Ave, Suite 120, Pawtucket, RI 02860-5299 |
| Steven Christopher Schaub | Rheumatology | Lifespan Physician Group Inc | 407 E Ave, Suite 250, Pawtucket, RI 02860-5290 |
| Carla M Quadros | Nurse Practitioner | University Internal Medicine Inc | 407 E Ave, Suite 120, Pawtucket, RI 02860-5299 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin D Klibanoff | Optometry | Klibanoff Eye Associates, Ltd | 55 Broad St, Pawtucket, RI 02860-2023 |
| David A Klibanoff | Optometry | Klibanoff Eye Associates, Ltd | 55 Broad St, Pawtucket, RI 02860-2023 |
| Mona Aoude Klibanoff | Optometry | Klibanoff Eye Associates, Ltd | 55 Broad St, Pawtucket, RI 02860-2023 |
| Melinda C Paiva | Clinical Social Worker | Gateway Healthcare Inc | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 |
| Peter Butler | Occupational Therapy | Mind and Body Rehab LLC | 461 Main St, Pawtucket, RI 02860-2913 |
| Jonathan Kaplan | Optometry | The Eyeglass Store Inc | 2 Dexter St, Pawtucket, RI 02860-2996 |
| Anne F Kiernan | Optometry | The Eyeglass Store Inc | 2 Dexter St, Pawtucket, RI 02860-2996 |
| Christopher Herzig | Chiropractic | 196 Cottage St, Pawtucket, RI 02860-3004 | |
| Patricia A Hogan-casey | Chiropractic | 215 Cottage St, Wholistic Chiropractic Center, Pawtucket, RI 02860-3026 | |
| Joyce Coppola | Internal Medicine | 174 Armistice Blvd, Unit C, Pawtucket, RI 02860-3210 | |
| Find all physicians in zip 02860 | |||
| City | PAWTUCKET |
| Zip Code | 02860 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PAWTUCKET + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kristin J Macdougall.
| 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.