Jordan S Dehaven (NPI# 1750510988, PAC ID# 9739211400) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1750510988 |
| PAC ID by PECOS | 9739211400 |
| Professional Enrollment ID | I20100715000327 |
| Full Name | Jordan S Dehaven |
| Organization Legal Name | MEDICAL ASSOCIATES OF RI, INC. |
| Address |
1180 Hope St Bristol RI 02809-1126 |
| Phone Number | 4012538900 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 3375432040 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1180 Hope St, Bristol, RI 02809-1126 | 4012538900 | MEDICAL ASSOCIATES OF RI, INC. |
| Organization Legal Name | MEDICAL ASSOCIATES OF RI, INC. |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David W Rowe | Diagnostic Radiology | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Nancy E Castro | Nurse Practitioner | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Michael A Reuter | Podiatry | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Ozden Bulut | Diagnostic Radiology | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Howard F Perrone | Internal Medicine | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Aamir Ahmad | Diagnostic Radiology | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Rosemary V Dever | Nurse Practitioner | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Annette C Fonteneau | Nurse Practitioner | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Leslie Mohlman | Internal Medicine | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Reuben H Reich | Dermatology | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Street Address |
1180 HOPE ST |
| City | BRISTOL |
| State | RI |
| Zip | 02809-1126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael F Gilson | Cardiovascular Disease (cardiology) | Lifespan Physician Group Inc | 1180 Hope St, Bristol, RI 02809-1126 |
| David W Rowe | Diagnostic Radiology | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Nancy E Castro | Nurse Practitioner | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Brian G Abbott | Cardiovascular Disease (cardiology) | Lifespan Physician Group Inc | 1180 Hope St, Bristol, RI 02809-1126 |
| Andrew J Going | Physical Therapy | Bristol County Physical Therapy and Sports Rehabilitation LLC | 1180 Hope St, Bristol, RI 02809-1126 |
| Joseph A Farina | Cardiovascular Disease (cardiology) | Lifespan Physician Group Inc | 1180 Hope St, Bristol, RI 02809-1126 |
| Michael A Reuter | Podiatry | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Ozden Bulut | Diagnostic Radiology | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Howard F Perrone | Internal Medicine | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Aamir Ahmad | Diagnostic Radiology | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rosemary V Dever | Nurse Practitioner | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Annette C Fonteneau | Nurse Practitioner | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Leslie Mohlman | Internal Medicine | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Reuben H Reich | Dermatology | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Anais Lucia Grilli | Physician Assistant | Lifespan Physician Group Inc | 1180 Hope St, Bristol, RI 02809-1126 |
| Richard A Reuter | Podiatry | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Suzanne Marie Mcintyre | Diagnostic Radiology | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Matthew A Brumbaugh | Internal Medicine | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Allen M Dennison | Internal Medicine | Medical Associates of Ri, Inc. | 1180 Hope St, Bristol, RI 02809-1126 |
| Marilyn J Weigner | Cardiovascular Disease (cardiology) | Lifespan Physician Group Inc | 1180 Hope St, Bristol, RI 02809-1126 |
| Find all physicians in zip 02809 | |||
| City | BRISTOL |
| Zip Code | 02809 |
| Specialty | PODIATRY |
| City + Specialty | BRISTOL + PODIATRY |
Please comment or provide details below to improve the information on Jordan S Dehaven.
| 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.