Elizabeth Conklin (NPI# 1649359704, PAC ID# 8628158532) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1649359704 |
| PAC ID by PECOS | 8628158532 |
| Professional Enrollment ID | I20100113000309 |
| Full Name | Elizabeth Conklin |
| Organization Legal Name | PROSPECT CHARTERCARE SJHSRI, LLC |
| Address |
2 Wake Robin Rd Fatima Hospital Wound Care Group Lincoln RI 02865-4295 |
| Phone Number | 4013343830 |
| Gender | F |
| Medical School | UNIVERSITY OF VERMONT COLLEGE OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 7315179314 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410005 | OUR LADY OF FATIMA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2 Wake Robin Rd, Fatima Hospital Wound Care Group, Lincoln, RI 02865-4295 | 4013343830 | PROSPECT CHARTERCARE SJHSRI, LLC |
| Organization Legal Name | PROSPECT CHARTERCARE SJHSRI, LLC |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Khin S Yin | Physical Medicine and Rehabilitation | Prospect Chartercare Sjhsri, LLC | 200 High Service Ave, Fatima Hospital Psychiatric/social Services Group, N Providence, RI 02904-5113 |
| Jennifer L Deblois | Registered Dietitian Or Nutrition Professional | Prospect Chartercare Sjhsri, LLC | 200 High Service Ave, Fatima Hospital Cardiology Group, North Providence, RI 02904-5113 |
| Deborah M Valletta | Clinical Social Worker | Prospect Chartercare Sjhsri, LLC | 2 Wake Robin Rd, Fatima Hospital Wound Care Group, Lincoln, RI 02865-4295 |
| Richard D Smith | Addiction Medicine | Prospect Chartercare Sjhsri, LLC | 2 Wake Robin Rd, Fatima Hospital Wound Care Group, Lincoln, RI 02865-4295 |
| Robert P Duprey | Nurse Practitioner | Prospect Chartercare Sjhsri, LLC | 2 Wake Robin Rd, Fatima Hospital Wound Care Group, Lincoln, RI 02865-4295 |
| Kendra Cabral | Clinical Social Worker | Prospect Chartercare Sjhsri, LLC | 2 Wake Robin Rd, Fatima Hospital Wound Care Group, Lincoln, RI 02865-4295 |
| Meredith E Sinel | Clinical Social Worker | Prospect Chartercare Sjhsri, LLC | 2 Wake Robin Rd, Fatima Hospital Wound Care Group, Lincoln, RI 02865-4295 |
| Kristina H Lavoie | Clinical Social Worker | Prospect Chartercare Sjhsri, LLC | 2 Wake Robin Rd, Fatima Hospital Wound Care Group, Lincoln, RI 02865-4295 |
| Andrea Goldfarb | Emergency Medicine | Prospect Chartercare Sjhsri, LLC | 2 Wake Robin Rd, Fatima Hospital Wound Care Group, Lincoln, RI 02865-4295 |
| Monica L O'brien | Nurse Practitioner | Prospect Chartercare Sjhsri, LLC | 200 High Service Ave, Fatima Hospital Psychiatric/social Services Group, N Providence, RI 02904-5113 |
| Street Address |
2 WAKE ROBIN RD FATIMA HOSPITAL WOUND CARE GROUP |
| City | LINCOLN |
| State | RI |
| Zip | 02865-4295 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elena Lvov | Nurse Practitioner | Asthma and Allergy Physicians of Rhode Island Inc | 2 Wake Robin Rd, Lincoln, RI 02865-4295 |
| Jean F Smith | Internal Medicine | Frank Michael D'alessandro Md Inc | 2 Wake Robin Rd, Suite 103, Lincoln, RI 02865-4241 |
| John F Zwetchkenbaum | Allergy/immunology | Asthma and Allergy Physicians of Rhode Island Inc | 2 Wake Robin Rd, Lincoln, RI 02865-4295 |
| Cynthia A Gagne | Physical Therapy | D and H Therapy Associates LLC | 2 Wake Robin Rd, Unit 101, Lincoln, RI 02865-4241 |
| Deborah M Valletta | Clinical Social Worker | Prospect Chartercare Sjhsri, LLC | 2 Wake Robin Rd, Fatima Hospital Wound Care Group, Lincoln, RI 02865-4295 |
| Alfred H Liddle Iii | Physician Assistant | Frank Michael D'alessandro Md Inc | 2 Wake Robin Rd, Suite 103, Lincoln, RI 02865-4241 |
| Richard D Smith | Addiction Medicine | Prospect Chartercare Sjhsri, LLC | 2 Wake Robin Rd, Fatima Hospital Wound Care Group, Lincoln, RI 02865-4295 |
| Robert P Duprey | Nurse Practitioner | Prospect Chartercare Sjhsri, LLC | 2 Wake Robin Rd, Fatima Hospital Wound Care Group, Lincoln, RI 02865-4295 |
| Nicole Gail Dahlquist | Nurse Practitioner | Frank Michael D'alessandro Md Inc | 2 Wake Robin Rd, Suite 103, Lincoln, RI 02865-4241 |
| Briana M Lackman | Physician Assistant | Asthma and Allergy Physicians of Rhode Island Inc | 2 Wake Robin Rd, Lincoln, RI 02865-4295 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl E Levick | Cardiovascular Disease (cardiology) | Lifespan Physician Group, Inc. | 6 Blackstone Plaza, Valley Place, Lincoln, RI 02865 |
| Tyler John Sliney | Chiropractic | 640 George Washington Hwy, Bldg C Suite 102, Lincoln, RI 02865 | |
| Jan J Penkala | Obstetrics/gynecology | 6 Blackstone Valley Pl, Suite 501, Lincoln, RI 02865-1101 | |
| Mohammad Jamali | Physical Therapy | Orthopedics Rhode Island, Inc | 6 Blackstone Valley Pl, Lincoln, RI 02865-1102 |
| Richard E Vannieuwenhuize | Internal Medicine | 6 Blackstone Valley Pl, Suite 305, Lincoln, RI 02865-1112 | |
| Michelle C Van Nieuwenhize | Internal Medicine | 6 Blackstone Valley Pl, Suite 305, Lincoln, RI 02865-1112 | |
| Rachel A Baboian | Qualified Audiologist | 6 Blackstone Valley Pl, Suite 307, Lincoln, RI 02865-1112 | |
| Gregory Lazan | Internal Medicine | Lincoln Urgent Care Center, Inc. | 2 Wake Robin Rd, Suite 106, Lincoln, RI 02865-1155 |
| William T Smith | Internal Medicine | Lincoln Urgent Care Center, Inc. | 2 Wake Robin Rd, Suite 106, Lincoln, RI 02865-1155 |
| Glenda E Byhouwer | Clinical Social Worker | 132 Old River Rd, Suite 300, Lincoln, RI 02865-1158 | |
| Find all physicians in zip 02865 | |||
| City | LINCOLN |
| Zip Code | 02865 |
| Specialty | GENERAL SURGERY |
| City + Specialty | LINCOLN + GENERAL SURGERY |
Please comment or provide details below to improve the information on Elizabeth Conklin.
| 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.