Karen Jutras (NPI# 1063409753, PAC ID# 6406746742) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1063409753 |
| PAC ID by PECOS | 6406746742 |
| Professional Enrollment ID | I20040318001413 |
| Full Name | Karen Jutras |
| Organization Legal Name | COASTAL MEDICAL INC |
| Address |
450 Veterans Memorial Pkwy Bld Suite 6 E Providence RI 02914-5300 |
| Phone Number | 4014355533 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1996 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8426961004 |
| Number of Group Practice Members | 109 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 450 Veterans Memorial Pkwy Bld, Suite 6, E Providence, RI 02914-5300 | 4014355533 | COASTAL MEDICAL INC |
| Organization Legal Name | COASTAL MEDICAL INC |
| Physicians | 125 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas Ryan Chasse | Nurse Practitioner | Coastal Medical Inc | 6 Blackstone Valley Pl, Suite 701, Lincoln, RI 02865-1170 |
| Karen Kawa | Nurse Practitioner | Coastal Medical Inc | 900 Warren Ave, Suite 400, East Providence, RI 02914-1430 |
| Penny Mclean-nowinski | Nurse Practitioner | Coastal Medical Inc | 1445 Wampanoag Trl, Suite 205, Riverside, RI 02915-1019 |
| Kathleen Salisbury | Physician Assistant | Coastal Medical Inc | 75 Sockanosset Xrd, Suite 100, Cranston, RI 02920 |
| Matthew J Franco | Cardiovascular Disease (cardiology) | Coastal Medical Inc | 1351 S County Trl, Suite 115, East Greenwich, RI 02818-5079 |
| Romi A Webster | Pediatric Medicine | Coastal Medical Inc | 300 Centerville Rd, Warwick, RI 02886-0200 |
| Josephine Barnds Brown | Physician Assistant | Coastal Medical Inc | 78 Baker St, Providence, RI 02905-4417 |
| Kenneth F Sperber | Family Medicine | Coastal Medical Inc | 727 E Ave, Pawtucket, RI 02860-6185 |
| Deborah J Thomas | Physician Assistant | Coastal Medical Inc | 41 Sanderson Rd, Suite 201, Smithfield, RI 02917-2603 |
| Kristen B Hubbard | Internal Medicine | Coastal Medical Inc | 1351 S County Trl, Suite 115, East Greenwich, RI 02818-5079 |
| Street Address |
450 VETERANS MEMORIAL PKWY BLD SUITE 6 |
| City | E PROVIDENCE |
| State | RI |
| Zip | 02914-5300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jing Tang | Internal Medicine | Coastal Medical Inc | 450 Veterans Memorial Pkwy Bld, Suite 6, E Providence, RI 02914-5300 |
| Ronald M Gilman | Internal Medicine | Coastal Medical Inc | 450 Veterans Memorial Pkwy Bld, Suite 6, E Providence, RI 02914-5300 |
| Luis A Osorio | Internal Medicine | Coastal Medical Inc | 450 Veterans Memorial Pkwy Bld, Suite 6, E Providence, RI 02914-5300 |
| Matthew W G Propert | Internal Medicine | Coastal Medical Inc | 450 Veterans Memorial Pkwy Bld, Suite 6, E Providence, RI 02914-5300 |
| Lucia Fontes Borts | Nurse Practitioner | Coastal Medical Inc | 450 Veterans Memorial Pkwy Bld, Suite 6, E Providence, RI 02914-5300 |
| James R Myers | Internal Medicine | Coastal Medical Inc | 450 Veterans Memorial Pkwy Bld, Suite 6, E Providence, RI 02914-5300 |
| Michelle K Woolfrey | Nurse Practitioner | Coastal Medical Inc | 450 Veterans Memorial Pkwy Bld, Suite 6, E Providence, RI 02914-5300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Geist | Diagnostic Radiology | Rhode Island Medical Imaging | 20 Catamore Blvd, E Providence, RI 02914-1204 |
| Miranda R Wing | Nurse Practitioner | Avenir Ventures LLC | 1 Catamore Blvd, East Providence, RI 02914-1228 |
| Elisabeth M Butler | Nurse Practitioner | Avenir Ventures LLC | 1 Catamore Blvd, East Providence, RI 02914-1228 |
| Donna Zaken | Nurse Practitioner | Avenir Ventures LLC | 1 Catamore Blvd, East Providence, RI 02914-1228 |
| Judith S Bessoff | Nurse Practitioner | Avenir Ventures LLC | 1 Catamore Blvd, East Providence, RI 02914-1228 |
| Marta E Rosol | Clinical Social Worker | 1018 Waterman Ave, East Providence, RI 02914-1318 | |
| Constantine Vafidis | Family Medicine | Primary Medical Center and Walk-in LLC | 684 Warren Ave, East Providence, RI 02914-1405 |
| Martha Ragsdale | Physical Therapy | Healy Physical Therapy and Sports Medicine Inc | 927 B Warren Ave, East Providence, RI 02914-1423 |
| Sterling Saint | Physical Therapy | Healy Physical Therapy and Sports Medicine Inc | 927 B Warren Ave, East Providence, RI 02914-1423 |
| Jacqueline Finn | Physical Therapy | Healy Physical Therapy and Sports Medicine Inc | 927 B Warren Ave, East Providence, RI 02914-1423 |
| Find all physicians in zip 02914 | |||
| City | E PROVIDENCE |
| Zip Code | 02914 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | E PROVIDENCE + NURSE PRACTITIONER |
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| 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.