Carl E Levick (NPI# 1245268689, PAC ID# 6204814684) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1245268689 |
| PAC ID by PECOS | 6204814684 |
| Professional Enrollment ID | I20140813002595 |
| Full Name | Carl E Levick |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP, INC. |
| Address |
6 Blackstone Plaza Valley Place Lincoln RI 02865 |
| Phone Number | 4013546250 |
| Gender | M |
| Medical School | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
| Graduation Year | 1978 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 2567455082 |
| Number of Group Practice Members | 518 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410006 | NEWPORT HOSPITAL |
| 410007 | RHODE ISLAND HOSPITAL |
| 410012 | MIRIAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Commerce St, Lincoln, RI 02865-1186 | 4017937191 | LIFESPAN PHYSICIAN GROUP, INC. |
| 6 Blackstone Plaza, Valley Place, Lincoln, RI 02865 | 4013546250 | LIFESPAN PHYSICIAN GROUP, INC. |
| 6 Blackstone Plaza, Lincoln, RI 02865 | 4013546250 | LIFESPAN PHYSICIAN GROUP, INC. |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP, INC. |
| Physicians | 75 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John A Day Jr. | Pulmonary Disease | Lifespan Physician Group, Inc. | 19 Friendship, Providence, RI 02903-3913 |
| Terri L Chalker | Certified Registered Nurse Anesthetist | Lifespan Physician Group, Inc. | 593 Eddy St, Providence, RI 02903-4923 |
| Adriana M Hosu | Internal Medicine | Lifespan Physician Group, Inc. | 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923 |
| Andrea C Sartori | Clinical Psychologist | Lifespan Physician Group, Inc. | 593 Eddy St, Providence, RI 02903-4923 |
| Damien Paul Hebert | Certified Registered Nurse Anesthetist | Lifespan Physician Group, Inc. | 17 Seekonk St, Providence, RI 02906-5125 |
| Rebecca Leigh Jackson | Nurse Practitioner | Lifespan Physician Group, Inc. | 185 High Service Ave, North Providence, RI 02904-5114 |
| Jennifer T Dibello | Registered Dietitian Or Nutrition Professional | Lifespan Physician Group, Inc. | 148 W River St, Suite 1g, Providence, RI 02904-2615 |
| Kristin Beauregard | Nurse Practitioner | Lifespan Physician Group, Inc. | 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923 |
| Lynn C Schultz | Certified Registered Nurse Anesthetist | Lifespan Physician Group, Inc. | 593 Eddy St, Providence, RI 02903-4923 |
| Lindsay W Schnetzer | Clinical Psychologist | Lifespan Physician Group, Inc. | 1 Hoppin St, Suite 204, Providence, RI 02903-4141 |
| Street Address |
6 BLACKSTONE PLAZA VALLEY PLACE |
| City | LINCOLN |
| State | RI |
| Zip | 02865 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyler John Sliney | Chiropractic | 640 George Washington Hwy, Bldg C Suite 102, Lincoln, RI 02865 | |
| Jan J Penkala | Obstetrics/gynecology | 6 Blackstone Valley Pl, Suite 501, Lincoln, RI 02865-1101 | |
| Mohammad Jamali | Physical Therapy | Orthopedics Rhode Island, Inc | 6 Blackstone Valley Pl, Lincoln, RI 02865-1102 |
| Richard E Vannieuwenhuize | Internal Medicine | 6 Blackstone Valley Pl, Suite 305, Lincoln, RI 02865-1112 | |
| Michelle C Van Nieuwenhize | Internal Medicine | 6 Blackstone Valley Pl, Suite 305, Lincoln, RI 02865-1112 | |
| Rachel A Baboian | Qualified Audiologist | 6 Blackstone Valley Pl, Suite 307, Lincoln, RI 02865-1112 | |
| Gregory Lazan | Internal Medicine | Lincoln Urgent Care Center, Inc. | 2 Wake Robin Rd, Suite 106, Lincoln, RI 02865-1155 |
| William T Smith | Internal Medicine | Lincoln Urgent Care Center, Inc. | 2 Wake Robin Rd, Suite 106, Lincoln, RI 02865-1155 |
| Glenda E Byhouwer | Clinical Social Worker | 132 Old River Rd, Suite 300, Lincoln, RI 02865-1158 | |
| Carol J Hamel | Optometry | 132 Old River Rd, Suite 201, Lincoln, RI 02865-1158 | |
| Find all physicians in zip 02865 | |||
| City | LINCOLN |
| Zip Code | 02865 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | LINCOLN + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Carl E Levick.
| 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.