Stephanie Paola Favreau (NPI# 1003044256, PAC ID# 4880813617) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1003044256 |
| PAC ID by PECOS | 4880813617 |
| Professional Enrollment ID | I20140910000449 |
| Full Name | Stephanie Paola Favreau |
| Organization Legal Name | ANCHOR MEDICAL ASSOCIATES |
| Address |
400 Bald Hill Rd Suite 520 Warwick RI 02886-1692 |
| Phone Number | 4017938520 |
| Gender | F |
| Medical School | BROWN UNIVERSITY PROGRAM IN MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 7911979869 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| 410009 | KENT COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 400 Bald Hill Rd, Suite 520, Warwick, RI 02886-1692 | 4017938520 | ANCHOR MEDICAL ASSOCIATES |
| Organization Legal Name | ANCHOR MEDICAL ASSOCIATES |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsea M Mckiernan | Physician Assistant | Anchor Medical Associates | 1 Commerce St, Lincoln, RI 02865-1186 |
| Malini C Gillen | Pediatric Medicine | Anchor Medical Associates | 1 Commerce St, Suite 100, Lincoln, RI 02865-1186 |
| Robert Cohen | Internal Medicine | Anchor Medical Associates | 1 Commerce St, 2nd Floor Internal Medicine, Lincoln, RI 02865-1186 |
| Robyn M. Ostapow | Physician Assistant | Anchor Medical Associates | 1 Commerce St, Lincoln, RI 02865-1186 |
| Maria C Botsko | Physician Assistant | Anchor Medical Associates | 1 Commerce St, Lincoln, RI 02865-1186 |
| Walter J Goula | Internal Medicine | Anchor Medical Associates | 1 Hoppin St, Suite 3, Providence, RI 02903-4141 |
| Susanna Winston | Internal Medicine | Anchor Medical Associates | 400 Bald Hill Rd, Suite 520, Warwick, RI 02886-1692 |
| Jessica Anne Duncan | Nurse Practitioner | Anchor Medical Associates | 1 Hoppin St, Suite 3, Providence, RI 02903-4141 |
| Joan Goddard | Internal Medicine | Anchor Medical Associates | 1 Hoppin St, Suite 3, Providence, RI 02903-4141 |
| Linda L Rexford | Pediatric Medicine | Anchor Medical Associates | 1 Commerce St, Suite 100, Lincoln, RI 02865-1186 |
| Street Address |
400 BALD HILL RD SUITE 520 |
| City | WARWICK |
| State | RI |
| Zip | 02886-1692 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arnoldas Giedrimas | Cardiac Electrophysiology | Southcoast Physicians Group, Inc.. | 400 Bald Hill Rd, 524 Southcoast Physicians Services Inc, Warwick, RI 02886-1691 |
| David R Katzen | Allergy/immunology | 400 Bald Hill Rd, Suite 527 2nd Flr, Warwick, RI 02886-1617 | |
| Susanna Winston | Internal Medicine | Anchor Medical Associates | 400 Bald Hill Rd, Suite 520, Warwick, RI 02886-1692 |
| Gerald W Glaser | Optometry | 400 Bald Hill Rd, Suite 163, Warwick, RI 02886-1682 | |
| Michele R Palazzolo | Optometry | 400 Bald Hill Rd, Suite 504, Warwick, RI 02886-6100 | |
| Robert Edward Gallucci | Podiatry | Foot and Ankle Institute of New | 400 Bald Hill Rd, Suite 503, Warwick, RI 02886-1692 |
| Lisa A Mansfield | Clinical Social Worker | Gershon Psychological Associates, LLC | 400 Bald Hill Rd, Suite 530, Warwick, RI 02886-6111 |
| Manchin Chang | Endocrinology | Diabetes and Endocrinology Associates, Inc. | 400 Bald Hill Rd, Warwick, RI 02886-1617 |
| Andrea M Johnstone | Psychologist, Clinical | Gershon Psychological Associates, LLC | 400 Bald Hill Rd, Suite 530, Warwick, RI 02886-6111 |
| Elizabeth A Tegan | Certified Clinical Nurse Specialist (cns) | 400 Bald Hill Rd, Suite 510, Warwick, RI 02886-1692 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George E Hardy | Internal Medicine | Osh - Ri Physicians Group PC | 300 Quaker Ln, Warwick, RI 02886-0159 |
| Melissa I Ferdinandi | Nurse Practitioner | Osh - Ri Physicians Group PC | 300 Quaker Ln, Warwick, RI 02886-0159 |
| Sharon B Gallipeau | Certified Registered Nurse Anesthetist (crna) | Anesthesia Professionals Inc | 444 Quaker Ln, Warwick, RI 02886-0185 |
| Lori A Cetrino | Certified Registered Nurse Anesthetist (crna) | Anesthesia Professionals Inc | 444 Quaker Ln, Warwick, RI 02886-0185 |
| Gary E Nilsson | Certified Registered Nurse Anesthetist (crna) | 444 Quaker Ln, Warwick, RI 02886-0185 | |
| Helen Geigenmiller | Certified Registered Nurse Anesthetist (crna) | Anesthesia Professionals Inc | 444 Quaker Ln, Warwick, RI 02886-0185 |
| Anne E Tierney | Certified Registered Nurse Anesthetist (crna) | Anesthesia Professionals Inc | 444 Quaker Ln, Warwick, RI 02886-0185 |
| Wendy M Carrington | Certified Registered Nurse Anesthetist (crna) | Anesthesia Professionals Inc | 444 Quaker Ln, Warwick, RI 02886-0185 |
| Romi A Webster | Pediatric Medicine | Coastal Medical Inc | 300 Centerville Rd, Warwick, RI 02886-0200 |
| Pamela J Blodgett | Optometry | Richard P. Belhumeur Od Ltd | 1120 Toll Gate Rd, Warwick, RI 02886-0648 |
| Find all physicians in zip 02886 | |||
| City | WARWICK |
| Zip Code | 02886 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WARWICK + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Stephanie Paola Favreau.
| 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.