Elena M Kwetkowski (NPI# 1023065711, PAC ID# 5991761983) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1023065711 |
| PAC ID by PECOS | 5991761983 |
| Professional Enrollment ID | I20041201000828 |
| Full Name | Elena M Kwetkowski |
| Organization Legal Name | COMPREHENSIVE COMMUNITY ACTION, INC. |
| Address |
1090 Cranston St Cranston RI 02920-7323 |
| Phone Number | 4019431981 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0749176055 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410005 | OUR LADY OF FATIMA HOSPITAL |
| 410009 | KENT COUNTY MEMORIAL HOSPITAL |
| 410012 | THE MIRIAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1090 Cranston St, Cranston, RI 02920-7323 | 4019431981 | COMPREHENSIVE COMMUNITY ACTION, INC. |
| Organization Legal Name | COMPREHENSIVE COMMUNITY ACTION, INC. |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David C. Greenblatt | Nurse Practitioner | Comprehensive Community Action, Inc. | 1090 Cranston St, Cranston, RI 02920-7323 |
| Puja Myne | Family Medicine | Comprehensive Community Action, Inc. | 1090 Cranston St, Cranston, RI 02920-7323 |
| Mary E Bailey | Nurse Practitioner | Comprehensive Community Action, Inc. | 1090 Cranston St, Cranston, RI 02920-7323 |
| Rick M Ford | Clinical Social Worker | Comprehensive Community Action, Inc. | 1090 Cranston St, Cranston, RI 02920-7323 |
| Cindy Jo Johnson | Nurse Practitioner | Comprehensive Community Action, Inc. | 1090 Cranston St, Cranston, RI 02920-7323 |
| Edward Westrick | Internal Medicine | Comprehensive Community Action, Inc. | 1090 Cranston St, Cranston, RI 02920-7323 |
| Jason D Villa | Physician Assistant | Comprehensive Community Action, Inc. | 1090 Cranston St, Cranston, RI 02920-7323 |
| Kimberly M Stokinger | Physician Assistant | Comprehensive Community Action, Inc. | 1090 Cranston St, Cranston, RI 02920-7323 |
| Megan Lynn Vebber | Physician Assistant | Comprehensive Community Action, Inc. | 1090 Cranston St, Cranston, RI 02920-7323 |
| Kellie A Nason | Clinical Social Worker | Comprehensive Community Action, Inc. | 1090 Cranston St, Cranston, RI 02920-7323 |
| Street Address |
1090 CRANSTON ST |
| City | CRANSTON |
| State | RI |
| Zip | 02920-7323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David C. Greenblatt | Nurse Practitioner | Comprehensive Community Action, Inc. | 1090 Cranston St, Cranston, RI 02920-7323 |
| Puja Myne | Family Medicine | Comprehensive Community Action, Inc. | 1090 Cranston St, Cranston, RI 02920-7323 |
| Mary E Bailey | Nurse Practitioner | Comprehensive Community Action, Inc. | 1090 Cranston St, Cranston, RI 02920-7323 |
| Rick M Ford | Clinical Social Worker | Comprehensive Community Action, Inc. | 1090 Cranston St, Cranston, RI 02920-7323 |
| Cindy Jo Johnson | Nurse Practitioner | Comprehensive Community Action, Inc. | 1090 Cranston St, Cranston, RI 02920-7323 |
| Edward Westrick | Internal Medicine | Comprehensive Community Action, Inc. | 1090 Cranston St, Cranston, RI 02920-7323 |
| Jason D Villa | Physician Assistant | Comprehensive Community Action, Inc. | 1090 Cranston St, Cranston, RI 02920-7323 |
| Kimberly M Stokinger | Physician Assistant | Comprehensive Community Action, Inc. | 1090 Cranston St, Cranston, RI 02920-7323 |
| Megan Lynn Vebber | Physician Assistant | Comprehensive Community Action, Inc. | 1090 Cranston St, Cranston, RI 02920-7323 |
| Kellie A Nason | Clinical Social Worker | Comprehensive Community Action, Inc. | 1090 Cranston St, Cranston, RI 02920-7323 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Salisbury | Physician Assistant | Coastal Medical Inc | 75 Sockanosset Xrd, Suite 100, Cranston, RI 02920 |
| Susan Parker | Physical Therapy | Excel Physical Therapy Inc | 51 Sockanosset Xrd, Cranston, RI 02920 |
| G. Miles Mullervy | Clinical Social Worker | 75 Sockanosset Xrds, Suite 206, Cranston, RI 02920 | |
| Mario Santomassimo | Physical Therapy | Excel Physical Therapy Inc | 51 Sockanosset Xrd, Cranston, RI 02920 |
| Edward Mccormick | Physical Therapy | Excel Physical Therapy Inc | 51 Sockanosset Xrd, Cranston, RI 02920 |
| Karen H Stevenson | Internal Medicine | Coastal Medical Inc | 75 Sockanosset Xrd, Suite 100, Cranston, RI 02920 |
| Kathryn O Coolidge | Internal Medicine | Coastal Medical Inc | 75 Sockanosset Xrd, Suite 100, Cranston, RI 02920 |
| Yul D Ejnes | Internal Medicine | Coastal Medical Inc | 75 Sockanosset Xrd, Suite 100, Cranston, RI 02920 |
| Kimberly A Propert | Nurse Practitioner | Coastal Medical Inc | 75 Sockanosset Xrd, Suite 100, Cranston, RI 02920 |
| Patrick George Lachut | Physical Therapy | Excel Physical Therapy Inc | 51 Sockanosset Xrd, Cranston, RI 02920 |
| Find all physicians in zip 02920 | |||
| City | CRANSTON |
| Zip Code | 02920 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CRANSTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Elena M Kwetkowski.
| 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.