Braidy Caitlin Shambaugh (NPI# 1972898773, PAC ID# 6608148861) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1972898773 |
| PAC ID by PECOS | 6608148861 |
| Professional Enrollment ID | I20170823000567 |
| Full Name | Braidy Caitlin Shambaugh |
| Organization Legal Name | PROSPECT CHARTERCARE RWMC, LLC |
| Address |
50 Maude St Providence RI 02908-4325 |
| Phone Number | 4014562075 |
| Gender | F |
| Medical School | UNIV OF MED & DENTISTRY OF NJ, NJ DENTAL SCHOOL |
| Graduation Year | 2011 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 0547492696 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410004 | ROGER WILLIAMS MEDICAL CENTER |
| 410005 | OUR LADY OF FATIMA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 725 Reservoir Ave, Suite 101, Cranston, RI 02910-4450 | 4019443800 | ORTHOPAEDIC ASSOCIATES, INC. |
| 50 Maude St, Providence, RI 02908-4325 | 4014562075 | PROSPECT CHARTERCARE RWMC, LLC |
| 825 Chalkstone Ave, Providence, RI 02908-4728 | PROSPECT CHARTERCARE RWMC, LLC |
| Organization Legal Name | PROSPECT CHARTERCARE RWMC, LLC |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa R Garris | Nurse Practitioner | Prospect Chartercare Rwmc, LLC | 715 Putnam Pike, Greenville, RI 02828-1428 |
| Todd F Roberts | Medical Oncology | Prospect Chartercare Rwmc, LLC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Kristine M Mortel | Internal Medicine | Prospect Chartercare Rwmc, LLC | 425 Albion Rd, Lincoln, RI 02865-4204 |
| Rebecca M Brown | Geriatric Medicine | Prospect Chartercare Rwmc, LLC | 700 Smith St, North Providence, RI 02908-3500 |
| Elinor M Collins | Certified Clinical Nurse Specialist (cns) | Prospect Chartercare Rwmc, LLC | 50 Maude St, Providence, RI 02908-4325 |
| Vincent A Armenio | Internal Medicine | Prospect Chartercare Rwmc, LLC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Michael Mariorenzi | Orthopedic Surgery | Prospect Chartercare Rwmc, LLC | 50 Maude St, Providence, RI 02908-4325 |
| Nathan L Barrington | Physician Assistant | Prospect Chartercare Rwmc, LLC | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Louis J Mariorenzi | Orthopedic Surgery | Prospect Chartercare Rwmc, LLC | 825 Chalkstone Ave, Providence, RI 02908-4735 |
| Nocif Joseph Espat | Surgical Oncology | Prospect Chartercare Rwmc, LLC | 70 Kenyon Ave, Suite 216, Wakefield, RI 02879-4241 |
| Street Address |
50 MAUDE ST |
| City | PROVIDENCE |
| State | RI |
| Zip | 02908-4325 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elinor M Collins | Certified Clinical Nurse Specialist (cns) | Prospect Chartercare Rwmc, LLC | 50 Maude St, Providence, RI 02908-4325 |
| Michael Mariorenzi | Orthopedic Surgery | Prospect Chartercare Rwmc, LLC | 50 Maude St, Providence, RI 02908-4325 |
| Prakash B Chougule | Radiation Oncology | Roger Williams Radiation Therapy, LLC | 50 Maude St, Providence, RI 02908-4325 |
| Steven Carl Katz | Surgical Oncology | Prospect Chartercare Rwmc, LLC | 50 Maude St, Providence, RI 02908-4325 |
| Gregory James Austin | Orthopedic Surgery | Prospect Chartercare Rwmc, LLC | 50 Maude St, Providence, RI 02908-4325 |
| Alexandra Sherman | Radiation Oncology | Roger Williams Radiation Therapy, LLC | 50 Maude St, Providence, RI 02908-4325 |
| Carrie M Reynolds | General Practice | Integrated Wound Care Rhode Island Pllc | 50 Maude St, Providence, RI 02908-4325 |
| Joseph C Cambio | Urology | Roger Williams Radiation Therapy, LLC | 50 Maude St, Providence, RI 02908-4325 |
| Thomas P Cesaro | Optometry | Providence Eye Associates, Inc. | 50 Maude St, Providence, RI 02908-4325 |
| Timothy D Shafman | Radiation Oncology | Roger Williams Radiation Therapy, LLC | 50 Maude St, Providence, RI 02908-4325 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward T Gallucci | Chiropractic | 1337 Smith St, North Providence, RI 02908-1823 | |
| Sean Manchester | Clinical Social Worker | 19 Trinity Pkwy, Providence, RI 02908-1932 | |
| Nicholas Bruno | Physical Therapy | 667 Academy Ave, Providence, RI 02908-2105 | |
| John Charette | Clinical Social Worker | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Tara Mabel Brannon Bogs | Psychologist, Clinical | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Leah Elizabeth Shavalier | Psychologist, Clinical | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Catherine Hoefliger-gallo | Psychologist, Clinical | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Randi J Braunstein | Clinical Social Worker | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Michael D Brodeur | Psychologist, Clinical | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Terri Lupoli | Clinical Social Worker | Providence Behavioral Health Associates Inc | 1075 Smith St, Suite 2, Providence, RI 02908-2700 |
| Find all physicians in zip 02908 | |||
| City | PROVIDENCE |
| Zip Code | 02908 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | PROVIDENCE + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Braidy Caitlin Shambaugh.
| 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.