Ross Budacki
LIFESPAN PHYSICIAN GROUP INC


Address: 19 Friendship St, Suite 130, Newport, RI 02840-2200
Phone: 4018452113

Ross Budacki (NPI# 1568724797, PAC ID# 6709154313) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.

Physician Overview

Nation Provider ID (NPI) 1568724797
PAC ID by PECOS 6709154313
Professional Enrollment ID I20170622000371
Full Name Ross Budacki
Organization Legal Name LIFESPAN PHYSICIAN GROUP INC
Address 19 Friendship St
Suite 130
Newport
RI 02840-2200
Phone Number 4018452113
Gender M
Medical School GEORGETOWN UNIVERSITY OF MEDICINE
Graduation Year 2012
Primary Specialty ORTHOPEDIC SURGERY
Group Practice PAC ID 2567455082
Number of Group Practice Members 600
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
410006 NEWPORT HOSPITAL

Other Locations

Address Phone Organization
11 Friendship St, Newport, RI 02840-2209 4018451472 LIFESPAN PHYSICIAN GROUP INC
19 Friendship St, Suite 130, Newport, RI 02840-2200 4018452113 LIFESPAN PHYSICIAN GROUP INC

Organization Information

Organization Legal Name LIFESPAN PHYSICIAN GROUP INC
Physicians 560

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Alisha Lakhani Rheumatology Lifespan Physician Group Inc 407 E Ave, Suite 250, Pawtucket, RI 02860-5290
Leah R Battista Obstetrics/gynecology Lifespan Physician Group Inc 148 W River St, Suite 1g, Providence, RI 02904-2615
Mahmoud Mowafy Internal Medicine Lifespan Physician Group Inc 164 Summit Ave, Providence, RI 02906-2853
Caroline Sizer Physical Medicine and Rehabilitation Lifespan Physician Group Inc 765 Allens Ave, Suite 110, Providence, RI 02905-5443
Christine Michele Leddy Psychiatry Lifespan Physician Group Inc 11 Friendship St, Newport, RI 02840-2209
Dana Siperstein Psychiatry Lifespan Physician Group Inc 167 Point St, Providence, RI 02903-4771
Brady Geronimo Case Psychiatry Lifespan Physician Group Inc 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061
Maurice Francis Joyce Iii Anesthesiology Lifespan Physician Group Inc 55 Lambert Lind Hwy, Warwick, RI 02886-1074

Office Location

Street Address 19 FRIENDSHIP ST
SUITE 130
City NEWPORT
State RI
Zip 02840-2200

Physicians in the same location

Name Specialty Organization Address
Nikhil C Panda Cardiac Electrophysiology Lifespan Physician Group Inc 19 Friendship St, Newport, RI 02840-2200
Ned H Gutman Cardiovascular Disease (cardiology) Lifespan Physician Group Inc 19 Friendship St, Newport, RI 02840-2200
Rolf H Langeland Orthopedic Surgery Lifespan Physician Group Inc 19 Friendship St, Newport, RI 02840-2200
Philip Julian Schmitt Psychiatry Lifespan Physician Group Inc 19 Friendship St, Unit 340, Newport, RI 02840-2200
Fakhreddin Entezary Diagnostic Radiology Prima Care PC 19 Friendship St, Unit 150, Newport, RI 02840-2200
Steven J Barreto Psychologist, Clinical Lifespan Physician Group Inc 19 Friendship St, Unit 240, Newport, RI 02840-2200
Heather M Hall Psychiatry Lifespan Physician Group Inc 19 Friendship St, Newport, RI 02840-2200
Farrel I Klein Psychiatry Lifespan Physician Group Inc 19 Friendship St, Newport, RI 02840-2200
Susanne J Patrick Mackinnon Neurology Lifespan Physician Group Inc 19 Friendship St, Suite 150 160, Newport, RI 02840-2272
Andrea Franson Elmere Nurse Practitioner Lifespan Physician Group Inc 19 Friendship St, Newport, RI 02840-2200
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Physicians in the same zip code

Name Specialty Organization Address
Jordan S Sheff Podiatry 392 Broadway, Newport, RI 02840-1733
Kathleen M Tirrell Certified Nurse Midwife Obstetrical Associates Inc 358 Broadway, Newport, RI 02840-1735
John Mccaffrey Internal Medicine 409 Broadway, Newport, RI 02840-1740
Virginia Mary Spaulding Psychologist, Clinical 54 Malbone Rd, Newport, RI 02840-1746
Carlyle Smart Chiropractic 372 Broadway, Newport, RI 02840-1777
Gail A Carpenter Clinical Social Worker 7 Bayview Ave, Suite 1, Newport, RI 02840-2107
Gracious A Audette Clinical Social Worker 40 Channing St, Newport, RI 02840-2165
Stephen D Groskin Family Medicine Prima Care PC 19 Friendship St, Unit 150, Newport, RI 02840-2200
Kathryn A Mitchell Physician Assistant Lifespan Physician Group Inc 19 Friendship St, Newport, RI 02840-2200
Lauren Marvell Nurse Practitioner Lifespan Physician Group Inc 19 Friendship St, Unit 240, Newport, RI 02840-2200
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Competitor

Search similar physicians

City NEWPORT
Zip Code 02840
Specialty ORTHOPEDIC SURGERY
City + Specialty NEWPORT + ORTHOPEDIC SURGERY

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Dataset Information

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.

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