Joel Spellun (NPI# 1295785251, PAC ID# 8022049378) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1295785251 |
| PAC ID by PECOS | 8022049378 |
| Professional Enrollment ID | I20100324000717 |
| Full Name | Joel Spellun |
| Organization Legal Name | UNIVERSITY GASTROENTEROLOGY, LLC |
| Address |
33 Staniford St Providence RI 02905-3105 |
| Phone Number | 4014218800 |
| Gender | M |
| Medical School | CORNELL UNIVERSITY MEDICAL COLLEGE |
| Graduation Year | 1982 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 3678762804 |
| Number of Group Practice Members | 45 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| 410007 | RHODE ISLAND HOSPITAL |
| 410005 | OUR LADY OF FATIMA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 33 Staniford St, Providence, RI 02905-3105 | 4014218800 | UNIVERSITY GASTROENTEROLOGY, LLC |
| Organization Legal Name | UNIVERSITY GASTROENTEROLOGY, LLC |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ravi V Nadimpalli | Gastroenterology | University Gastroenterology, LLC | 110 Clock Tower Sq, Fl 2, Portsmouth, RI 02871-1396 |
| Joseph D Pianka | Gastroenterology | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| Lisa Ann Mueller | Gastroenterology | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| Douglas R Blake | Anesthesiology | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| Danielly Muchiutti | Certified Registered Nurse Anesthetist (crna) | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| Jason D Ferreira | Gastroenterology | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| Mary Fortuna Silva | Nurse Practitioner | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| Philip A Mcandrew | Gastroenterology | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| Michael Joseph Moylan Jr. | Nurse Practitioner | University Gastroenterology, LLC | 110 Clock Tower Sq, Fl 2, Portsmouth, RI 02871-1396 |
| Sheldon Lidofsky | Gastroenterology | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| Street Address |
33 STANIFORD ST |
| City | PROVIDENCE |
| State | RI |
| Zip | 02905-3105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph D Pianka | Gastroenterology | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| Lisa Ann Mueller | Gastroenterology | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| Douglas R Blake | Anesthesiology | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| Danielly Muchiutti | Certified Registered Nurse Anesthetist (crna) | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| Jason D Ferreira | Gastroenterology | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| Mary Fortuna Silva | Nurse Practitioner | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| Philip A Mcandrew | Gastroenterology | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| Sheldon Lidofsky | Gastroenterology | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| William T Chen | Gastroenterology | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| Thomas E Sepe | Gastroenterology | University Gastroenterology, LLC | 33 Staniford St, Providence, RI 02905-3105 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clarissa D. Lewis | Optometry | The Providence Community Health Centers Inc. | 335 Prairie Ave, Fl 2, Providence, RI 02905-1924 |
| Angel M. Eads | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Sandrine O Guilherme | Clinical Social Worker | The Providence Center Inc | 355 Prairie Ave, Providence, RI 02905-1928 |
| Katherine Williams | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Luis A Ferreira | Clinical Social Worker | The Providence Center Inc | 355 Prairie Ave, Providence, RI 02905-1928 |
| Andrew Saal | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Lauren E Stewart | Obstetrics/gynecology | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Tenesha R Lisbon | Nurse Practitioner | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Elaine K Parker Williams | Nurse Practitioner | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Carla Martin | Internal Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Find all physicians in zip 02905 | |||
| City | PROVIDENCE |
| Zip Code | 02905 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | PROVIDENCE + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Joel Spellun.
| 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.