Paul T Marcaccio (NPI# 1922030303, PAC ID# 8123913407) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1922030303 |
| PAC ID by PECOS | 8123913407 |
| Professional Enrollment ID | I20070118000349 |
| Full Name | Paul T Marcaccio |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Address |
639 Metacom Ave Warren RI 02885-2348 |
| Phone Number | 4012451500 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY |
| Graduation Year | 1989 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2567455082 |
| Number of Group Practice Members | 600 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| 410006 | NEWPORT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 639 Metacom Ave, Warren, RI 02885-2348 | 4012451500 | LIFESPAN PHYSICIAN GROUP INC |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Physicians | 560 |
| 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 |
| Street Address |
639 METACOM AVE |
| City | WARREN |
| State | RI |
| Zip | 02885-2348 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amritpal Singh Jawanda | Family Medicine | Lifespan Physician Group Inc | 639 Metacom Ave, Warren, RI 02885-2348 |
| Carol Dorros | Internal Medicine | Lifespan Physician Group Inc | 639 Metacom Ave, Warren, RI 02885-2348 |
| Joseph T Zibrida | Internal Medicine | Lifespan Physician Group Inc | 639 Metacom Ave, Warren, RI 02885-2348 |
| Frank Amalfitano | Internal Medicine | Lifespan Physician Group Inc | 639 Metacom Ave, Warren, RI 02885-2348 |
| Alice Haynes | Nurse Practitioner | Lifespan Physician Group Inc | 639 Metacom Ave, Warren, RI 02885-2348 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dominick Zangari Jr. | Ophthalmology | 386 Market St, Warren, RI 02885-1627 | |
| Jessica Roy | Physical Therapy | Silver Fern Practice, LLC | 426 Metacom Ave, Warren, RI 02885-2711 |
| Megan Marcello | Physical Therapy | Silver Fern Practice, LLC | 426 Metacom Ave, Warren, RI 02885-2711 |
| William Thomas Campion Iii | Physical Therapy | Silver Fern Practice, LLC | 426 Metacom Ave, Warren, RI 02885-2711 |
| Trevor Ensign | Physical Therapy | Silver Fern Practice, LLC | 426 Metacom Ave, Warren, RI 02885-2711 |
| Robin Lindsey Ness | Physical Therapy | Rhode Island Rehabilitation Institute PC | 611 Metacom Ave, Warren, RI 02885-2813 |
| Kara Biller | Occupational Therapy | Rhode Island Rehabilitation Institute PC | 611 Metacom Ave, Warren, RI 02885-2813 |
| John Michael Ware | Physical Therapy | Rhode Island Rehabilitation Institute PC | 611 Metacom Ave, Warren, RI 02885-2813 |
| Edward Brady | Physical Therapy | Rhode Island Rehabilitation Institute PC | 611 Metacom Ave, Warren, RI 02885-2813 |
| Karen Carnevale | Physical Therapy | Rhode Island Rehabilitation Institute P.c | 611 Metacom Ave, Warren, RI 02885-2813 |
| Find all physicians in zip 02885 | |||
| City | WARREN |
| Zip Code | 02885 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WARREN + INTERNAL MEDICINE |
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| 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.