Zachary John Quay-de La Vallee (NPI# 1629481825, PAC ID# 6204135726) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1629481825 |
| PAC ID by PECOS | 6204135726 |
| Professional Enrollment ID | I20190730002376 |
| Full Name | Zachary John Quay-de La Vallee |
| Organization Legal Name | RI EAR NOSE AND THROAT PHYSICIANS INC. |
| Address |
2138 Mendon Rd Suite 204 Cumberland RI 02864-3836 |
| Phone Number | 4013338664 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 8921109448 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410007 | RHODE ISLAND HOSPITAL |
| 410005 | OUR LADY OF FATIMA HOSPITAL |
| 410012 | THE MIRIAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2138 Mendon Rd, Suite 204, Cumberland, RI 02864-3836 | 4013338664 | RI EAR NOSE AND THROAT PHYSICIANS INC. |
| 148 W River St, Suite 2a, Providence, RI 02904-2615 | 4017280140 | RI EAR NOSE AND THROAT PHYSICIANS INC. |
| Organization Legal Name | RI EAR NOSE AND THROAT PHYSICIANS INC. |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David S Bick | Otolaryngology | Ri Ear Nose and Throat Physicians Inc. | 148 W River St, Suite 2a, Providence, RI 02904-2615 |
| Robert Rogers | Qualified Audiologist | Ri Ear Nose and Throat Physicians Inc. | 148 W River St, Suite 2a, Providence, RI 02904-2615 |
| Douglas Emery | Otolaryngology | Ri Ear Nose and Throat Physicians Inc. | 148 W River St, Suite 2a, Providence, RI 02904-2615 |
| Thomas F Della Torre | Otolaryngology | Ri Ear Nose and Throat Physicians Inc. | 148 W River St, Suite 2a, Providence, RI 02904-2615 |
| Ariana Quinn De Labry | Qualified Audiologist | Ri Ear Nose and Throat Physicians Inc. | 148 W River St, Suite 2a, Providence, RI 02904-2615 |
| Martin Papazian | Otolaryngology | Ri Ear Nose and Throat Physicians Inc. | 148 W River St, Suite 2a, Providence, RI 02904-2615 |
| Jillian Clark Blaisdell | Qualified Audiologist | Ri Ear Nose and Throat Physicians Inc. | 148 W River St, Suite 2a, Providence, RI 02904-2615 |
| John Tarro | Otolaryngology | Ri Ear Nose and Throat Physicians Inc. | 148 W River St, Suite 2a, Providence, RI 02904-2615 |
| Melissa Anne Colwell | Qualified Audiologist | Ri Ear Nose and Throat Physicians Inc. | 2138 Mendon Rd, Suite 204, Cumberland, RI 02864-3836 |
| Sara Acciardo | Audiologist | Ri Ear Nose and Throat Physicians Inc. | 148 W River St, Suite 2a, Providence, RI 02904-2615 |
| Street Address |
2138 MENDON RD SUITE 204 |
| City | CUMBERLAND |
| State | RI |
| Zip | 02864-3836 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria C Younes | Neurology | 2138 Mendon Rd, Unit 104, Cumberland, RI 02864-3832 | |
| Avanish Mehta | Internal Medicine | Cumberland Primary Care Inc | 2138 Mendon Rd, 101a, Cumberland, RI 02864-3832 |
| Altaf Girach | Internal Medicine | Cumberland Primary Care Inc | 2138 Mendon Rd, 101a, Cumberland, RI 02864-3832 |
| Melissa Anne Colwell | Qualified Audiologist | Ri Ear Nose and Throat Physicians Inc. | 2138 Mendon Rd, Suite 204, Cumberland, RI 02864-3836 |
| Robin A Hart | Nurse Practitioner | Prime Healthcare Services Landmark LLC | 2138 Mendon Rd, Suite 101b, Cumberland, RI 02864-3832 |
| Diane I Dubois Hall | Family Practice | Prime Healthcare Services Landmark LLC | 2138 Mendon Rd, Suite 101b, Cumberland, RI 02864-3832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven B Kirschner | Gastroenterology | 106 Nate Whipple Hgwy, Cumberland, RI 02864 | |
| Pamela M Styler | Psychologist, Clinical | 2180 Hendon Rd, Suite 21, Cumberland, RI 02864 | |
| Jenna Boutilier | Nurse Practitioner | Brookside Medical Associates PC | 106 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1403 |
| Gerda Newcomb | Nurse Practitioner | Brookside Medical Associates PC | 106 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1403 |
| Kristin Meegan | Nurse Practitioner | Brookside Medical Associates PC | 106 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1403 |
| Scott A Wilson | Internal Medicine | Brookside Medical Associates PC | 106 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1403 |
| Alan D Gaines | Allergy/immunology | 106 Nate Whipple Hwy, Suite 201, Cumberland, RI 02864-1403 | |
| Emily Elizabeth Sullivan | Nurse Practitioner | Brookside Medical Associates PC | 106 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1403 |
| Brianna L Landry | Physical Therapy | 175 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1422 | |
| Tilak K Verma | Pulmonary Disease | 175 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1422 | |
| Find all physicians in zip 02864 | |||
| City | CUMBERLAND |
| Zip Code | 02864 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | CUMBERLAND + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Zachary John Quay-de La Vallee.
| 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.