Omar Hyder
LIFESPAN PHYSICIAN GROUP INC


Address: 593 Eddy St, Providence, RI 02903-4923
Phone: 4014444000

Omar Hyder (NPI# 1295937431, PAC ID# 8022322171) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).

Physician Overview

Nation Provider ID (NPI) 1295937431
PAC ID by PECOS 8022322171
Professional Enrollment ID I20150803000904
Full Name Omar Hyder
Organization Legal Name LIFESPAN PHYSICIAN GROUP INC
Address 593 Eddy St
Providence
RI 02903-4923
Phone Number 4014444000
Gender M
Medical School BROWN UNIVERSITY PROGRAM IN MEDICINE
Graduation Year 2007
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Secondary Specialties INTERNAL MEDICINE
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
410012 THE MIRIAM HOSPITAL
410007 RHODE ISLAND HOSPITAL
220008 STURDY MEMORIAL HOSPITAL
410006 NEWPORT HOSPITAL

Other Locations

Address Phone Organization
950 Warren Ave, Fl 2, East Providence, RI 02914-1432 4016061004 THE MIRIAM HOSPITAL
593 Eddy St, Providence, RI 02903-4923 4014444000 LIFESPAN PHYSICIAN GROUP INC

Organization Information

Organization Legal Name LIFESPAN PHYSICIAN GROUP INC
Physicians 560

Physicians with the same organization

Name Specialty Organization Address
Roy Souaid Internal Medicine Lifespan Physician Group Inc 1500 Pontiac Ave, Suite 101, Cranston, RI 02920-4486
Amritpal Singh Jawanda Family Medicine Lifespan Physician Group Inc 639 Metacom Ave, Warren, RI 02885-2348
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 593 EDDY ST
City PROVIDENCE
State RI
Zip 02903-4923

Physicians in the same location

Name Specialty Organization Address
Keith Austin Scarfo Anesthesiology Rhode Island Hospital 593 Eddy St, Providence, RI 02903-4923
Halina Kuc-mazgaj Nurse Practitioner Lifespan Physician Group Inc 593 Eddy St, Providence, RI 02903-4923
Julie Morris Psychologist, Clinical Lifespan Physician Group Inc 593 Eddy St, Providence, RI 02903-4923
Martha C Trimbur Internal Medicine Brown Medicine 593 Eddy St, Providence, RI 02903-4923
Regina B Monteiro Nurse Practitioner Lifespan Physician Group Inc 593 Eddy St, Apc 7, Providence, RI 02903-4923
Arnaldo Adolfo Berges Psychiatry Lifespan Physician Group Inc 593 Eddy St, Providence, RI 02903-4923
Gregory R Lockhart Pediatric Medicine Brown Emergency Medicine 593 Eddy St, Providence, RI 02903-4923
Peter W Wolferseder Certified Registered Nurse Anesthetist (crna) Lifespan Physician Group Inc 593 Eddy St, Providence, RI 02903-4923
Marie A Mills Certified Registered Nurse Anesthetist (crna) Lifespan Physician Group Inc 593 Eddy St, Providence, RI 02903-4923
Courtney Clark Bilodeau Internal Medicine Lifespan Physician Group Inc 593 Eddy St, Providence, RI 02903-4923
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Name Specialty Organization Address
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Ann Marie Rameika Nurse Practitioner Practitioner Support Services LLP 10 Dorrance St, Suite 700, Providence, RI 02903-2014
Amy Beth Ciarniello Physical Therapy Fox Rehab of Ri PC 10 Dorrance St, Suite 700, Providence, RI 02903-2014
Dina Mccamish Physical Therapy Fox Rehab of Ri PC 10 Dorrance St, Suite 700, Providence, RI 02903-2014
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Competitor

Search similar physicians

City PROVIDENCE
Zip Code 02903
Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
City + Specialty PROVIDENCE + CARDIOVASCULAR DISEASE (CARDIOLOGY)

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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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