Diane I Dubois Hall (NPI# 1851423743, PAC ID# 8820139751) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1851423743 |
| PAC ID by PECOS | 8820139751 |
| Professional Enrollment ID | I20101230000758 |
| Full Name | Diane I Dubois Hall |
| Organization Legal Name | PRIME HEALTHCARE SERVICES LANDMARK LLC |
| Address |
2138 Mendon Rd Suite 101b Cumberland RI 02864-3832 |
| Phone Number | 4017694100 |
| Gender | F |
| Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 3274761069 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410011 | LANDMARK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2138 Mendon Rd, Suite 101b, Cumberland, RI 02864-3832 | 4017694100 | PRIME HEALTHCARE SERVICES LANDMARK LLC |
| Organization Legal Name | PRIME HEALTHCARE SERVICES LANDMARK LLC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley M Lakin | Family Medicine | Prime Healthcare Services Landmark LLC | 255 Cass Ave, Woonsocket, RI 02895-4705 |
| Eric P Launer | Orthopedic Surgery | Prime Healthcare Services Landmark LLC | 206 Cass Ave, Woonsocket, RI 02895-4712 |
| Wajahat Faheem | Psychiatry | Prime Healthcare Services Landmark LLC | 115 Cass Ave, Woonsocket, RI 02895-4705 |
| Willa R Campbell | Certified Nurse Midwife (cnm) | Prime Healthcare Services Landmark LLC | 115 Cass Ave, Suite 2, Woonsocket, RI 02895-4705 |
| Paul Alexandrov | Internal Medicine | Prime Healthcare Services Landmark LLC | 115 Cass Ave, Woonsocket, RI 02895-4705 |
| Mohammad Faizul Suhail | Internal Medicine | Prime Healthcare Services Landmark LLC | 115 Cass Ave, Woonsocket, RI 02895-4705 |
| Sharon Nancy Benson | Nurse Practitioner | Prime Healthcare Services Landmark LLC | 116 Eddie Dowling Hwy, N Smithfield, RI 02896-7327 |
| Matthew J Rogalski | Obstetrics/gynecology | Prime Healthcare Services Landmark LLC | 115 Cass Ave, Suite 2, Woonsocket, RI 02895-4705 |
| Syed A Naqvi | Internal Medicine | Prime Healthcare Services Landmark LLC | 115 Cass Ave, Woonsocket, RI 02895-4705 |
| Ravi Tandon | Internal Medicine | Prime Healthcare Services Landmark LLC | 115 Cass Ave, Suite 2, Woonsocket, RI 02895-4705 |
| Street Address |
2138 MENDON RD SUITE 101B |
| City | CUMBERLAND |
| State | RI |
| Zip | 02864-3832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria C Younes | Neurology | 2138 Mendon Rd, Unit 104, Cumberland, RI 02864-3832 | |
| Avanish Mehta | Internal Medicine | Cumberland Primary Care Inc | 2138 Mendon Rd, 101a, Cumberland, RI 02864-3832 |
| Zachary John Quay-de La Vallee | Otolaryngology | Ri Ear Nose and Throat Physicians Inc. | 2138 Mendon Rd, Suite 204, Cumberland, RI 02864-3836 |
| Altaf Girach | Internal Medicine | Cumberland Primary Care Inc | 2138 Mendon Rd, 101a, Cumberland, RI 02864-3832 |
| Melissa Anne Colwell | Qualified Audiologist | Ri Ear Nose and Throat Physicians Inc. | 2138 Mendon Rd, Suite 204, Cumberland, RI 02864-3836 |
| Robin A Hart | Nurse Practitioner | Prime Healthcare Services Landmark LLC | 2138 Mendon Rd, Suite 101b, Cumberland, RI 02864-3832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven B Kirschner | Gastroenterology | 106 Nate Whipple Hgwy, Cumberland, RI 02864 | |
| Pamela M Styler | Psychologist, Clinical | 2180 Hendon Rd, Suite 21, Cumberland, RI 02864 | |
| Jenna Boutilier | Nurse Practitioner | Brookside Medical Associates PC | 106 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1403 |
| Gerda Newcomb | Nurse Practitioner | Brookside Medical Associates PC | 106 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1403 |
| Kristin Meegan | Nurse Practitioner | Brookside Medical Associates PC | 106 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1403 |
| Scott A Wilson | Internal Medicine | Brookside Medical Associates PC | 106 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1403 |
| Alan D Gaines | Allergy/immunology | 106 Nate Whipple Hwy, Suite 201, Cumberland, RI 02864-1403 | |
| Emily Elizabeth Sullivan | Nurse Practitioner | Brookside Medical Associates PC | 106 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1403 |
| Brianna L Landry | Physical Therapy | 175 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1422 | |
| Tilak K Verma | Pulmonary Disease | 175 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1422 | |
| Find all physicians in zip 02864 | |||
| City | CUMBERLAND |
| Zip Code | 02864 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | CUMBERLAND + FAMILY PRACTICE |
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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.