Mark F Medeiros (NPI# 1114996717, PAC ID# 7416979455) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1114996717 |
| PAC ID by PECOS | 7416979455 |
| Professional Enrollment ID | I20190528000305 |
| Full Name | Mark F Medeiros |
| Organization Legal Name | DECRESCENZO CHIROPRACTIC, INC |
| Address |
231 Douglas Ave Providence RI 02908-3767 |
| Phone Number | 4014217414 |
| Gender | M |
| Credential | DC |
| Medical School | NATIONAL COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1990 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 5698800340 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 231 Douglas Ave, Providence, RI 02908-3767 | 4014217414 | DECRESCENZO CHIROPRACTIC, INC |
| Organization Legal Name | DECRESCENZO CHIROPRACTIC, INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin L Belanger | Chiropractic | Decrescenzo Chiropractic, Inc | 1084 Broad St, Central Falls, RI 02863-1516 |
| Annie M Ganemian | Chiropractic | Decrescenzo Chiropractic, Inc | 1155 Newport Ave, Pawtucket, RI 02861-2107 |
| Gregory Decrescenzo | Chiropractic | Decrescenzo Chiropractic, Inc | 1155 Newport Ave, Pawtucket, RI 02861-2107 |
| Amy M Malek | Chiropractic | Decrescenzo Chiropractic, Inc | 1155 Newport Ave, Pawtucket, RI 02861-2107 |
| Shadi Shakoori | Chiropractic | Decrescenzo Chiropractic, Inc | 1155 Newport Ave, Pawtucket, RI 02861-2107 |
| Amanda L Quinones | Chiropractic | Decrescenzo Chiropractic, Inc | 1084 Broad St, Central Falls, RI 02863-1516 |
| Jason L Kolenda | Chiropractic | Decrescenzo Chiropractic, Inc | 1155 Newport Ave, Pawtucket, RI 02861-2107 |
| Street Address |
231 DOUGLAS AVE |
| City | PROVIDENCE |
| State | RI |
| Zip | 02908-3767 |
| 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 | CHIROPRACTIC |
| City + Specialty | PROVIDENCE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Mark F Medeiros.
| 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.