Jordan Benjamin Raheb (NPI# 1821650136, PAC ID# 9436489705) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1821650136 |
| PAC ID by PECOS | 9436489705 |
| Professional Enrollment ID | I20190930001816 |
| Full Name | Jordan Benjamin Raheb |
| Organization Legal Name | OCEAN STATE URGENT CARE CENTER OF WOONSOCKET |
| Address |
25 John A Cummings Way Woonsocket RI 02895-3244 |
| Phone Number | 4012357310 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0345563573 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410011 | LANDMARK MEDICAL CENTER |
| 410005 | OUR LADY OF FATIMA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 400 Putnam Pike, Smithfield, RI 02917-2408 | 4017576160 | OCEAN STATE URGENT CARE CENTER OF SMITHFIELD LLC |
| 25 John A Cummings Way, Woonsocket, RI 02895-3244 | 4012357310 | OCEAN STATE URGENT CARE CENTER OF WOONSOCKET |
| Organization Legal Name | OCEAN STATE URGENT CARE CENTER OF WOONSOCKET |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Dionisopoulos | Internal Medicine | Ocean State Urgent Care Center of Woonsocket | 25 John A Cummings Way, Woonsocket, RI 02895-3244 |
| Anthony R Ricci | Allergy/immunology | Ocean State Urgent Care Center of Woonsocket | 25 John A Cummings Way, Woonsocket, RI 02895-3244 |
| Kristen Paulette Burke | Nurse Practitioner | Ocean State Urgent Care Center of Woonsocket | 25 John A Cummings Way, Woonsocket, RI 02895-3244 |
| Michael D Simonetti | Physician Assistant | Ocean State Urgent Care Center of Woonsocket | 25 John A Cummings Way, Woonsocket, RI 02895-3244 |
| Matthew R James | Nurse Practitioner | Ocean State Urgent Care Center of Woonsocket | 25 John A Cummings Way, Woonsocket, RI 02895-3244 |
| Ellen F. Brady | Nurse Practitioner | Ocean State Urgent Care Center of Woonsocket | 25 John A Cummings Way, Woonsocket, RI 02895-3244 |
| Lindsey Stanley | Physician Assistant | Ocean State Urgent Care Center of Woonsocket | 25 John A Cummings Way, Woonsocket, RI 02895-3244 |
| Lisa S Israel | Physician Assistant | Ocean State Urgent Care Center of Woonsocket | 25 John A Cummings Way, Woonsocket, RI 02895-3244 |
| Timothy D Thomas | Physician Assistant | Ocean State Urgent Care Center of Woonsocket | 25 John A Cummings Way, Woonsocket, RI 02895-3244 |
| David E Stowik | Physician Assistant | Ocean State Urgent Care Center of Woonsocket | 25 John A Cummings Way, Woonsocket, RI 02895-3244 |
| Street Address |
25 JOHN A CUMMINGS WAY |
| City | WOONSOCKET |
| State | RI |
| Zip | 02895-3244 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Dionisopoulos | Internal Medicine | Ocean State Urgent Care Center of Woonsocket | 25 John A Cummings Way, Woonsocket, RI 02895-3244 |
| Anthony R Ricci | Allergy/immunology | Ocean State Urgent Care Center of Woonsocket | 25 John A Cummings Way, Woonsocket, RI 02895-3244 |
| Kristen Paulette Burke | Nurse Practitioner | Ocean State Urgent Care Center of Woonsocket | 25 John A Cummings Way, Woonsocket, RI 02895-3244 |
| Michael D Simonetti | Physician Assistant | Ocean State Urgent Care Center of Woonsocket | 25 John A Cummings Way, Woonsocket, RI 02895-3244 |
| Matthew R James | Nurse Practitioner | Ocean State Urgent Care Center of Woonsocket | 25 John A Cummings Way, Woonsocket, RI 02895-3244 |
| Ellen F. Brady | Nurse Practitioner | Ocean State Urgent Care Center of Woonsocket | 25 John A Cummings Way, Woonsocket, RI 02895-3244 |
| Lindsey Stanley | Physician Assistant | Ocean State Urgent Care Center of Woonsocket | 25 John A Cummings Way, Woonsocket, RI 02895-3244 |
| Lisa S Israel | Physician Assistant | Ocean State Urgent Care Center of Woonsocket | 25 John A Cummings Way, Woonsocket, RI 02895-3244 |
| Timothy D Thomas | Physician Assistant | Ocean State Urgent Care Center of Woonsocket | 25 John A Cummings Way, Woonsocket, RI 02895-3244 |
| David E Stowik | Physician Assistant | Ocean State Urgent Care Center of Woonsocket | 25 John A Cummings Way, Woonsocket, RI 02895-3244 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James J Cloutier | Podiatry | 919 Diamond Hill Rd, Woonsocket, RI 02895-1457 | |
| Michael J Monsour | Nephrology | Nephrology Associates Inc | 2100 Diamond Hill Rd, Woonsocket, RI 02895-1544 |
| Dennis S Forman | Optometry | 1500 Diamond Hill Rd, Woonsocket, RI 02895-1547 | |
| Dennis J Hart | Podiatry | 301 Mendon Rd, Woonsocket, RI 02895-2411 | |
| Michael E Spizzirri | Obstetrics/gynecology | 20 Cumberland Hill Rd, Suite 210, Woonsocket, RI 02895-2430 | |
| Jeffrey S Kenyon | Optometry | Blackstone Valley Eye Care, P.C. | 385 Mendon Rd, Woonsocket, RI 02895-2477 |
| Andrea F Odle | Optometry | Blackstone Valley Eye Care, P.C. | 385 Mendon Rd, Woonsocket, RI 02895-2477 |
| Elizabeth R Wassenaar | Optometry | Blackstone Valley Eye Care, P.C. | 385 Mendon Rd, Woonsocket, RI 02895-2477 |
| Kelly Dowd | Physical Therapy | Silver Fern Practice, LLC | 16 Arnold St, Woonsocket, RI 02895-2902 |
| Pat Procaccini | Physical Therapy | Silver Fern Practice, LLC | 16 Arnold St, Woonsocket, RI 02895-2902 |
| Find all physicians in zip 02895 | |||
| City | WOONSOCKET |
| Zip Code | 02895 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WOONSOCKET + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jordan Benjamin Raheb.
| 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.