Gwyneth Granton (NPI# 1336132935, PAC ID# 9739371410) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1336132935 |
| PAC ID by PECOS | 9739371410 |
| Professional Enrollment ID | I20101013000731 |
| Full Name | Gwyneth Granton |
| Organization Legal Name | THE PROVIDENCE COMMUNITY HEALTH CENTERS INC. |
| Address |
375 Allens Ave Providence RI 02905-5010 |
| Phone Number | 4014440400 |
| Gender | F |
| Graduation Year | 1983 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9335050962 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410007 | RHODE ISLAND HOSPITAL |
| 410012 | THE MIRIAM HOSPITAL |
| 410004 | ROGER WILLIAMS MEDICAL CENTER |
| 410010 | WOMEN & INFANTS HOSPITAL OF RHODE ISLAND |
| Address | Phone | Organization |
|---|---|---|
| 375 Allens Ave, Providence, RI 02905-5010 | 4014440400 | THE PROVIDENCE COMMUNITY HEALTH CENTERS INC. |
| Organization Legal Name | THE PROVIDENCE COMMUNITY HEALTH CENTERS INC. |
| Physicians | 64 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jenny R David | Obstetrics/gynecology | The Providence Community Health Centers Inc. | 40 Candace St, Providence, RI 02908-3747 |
| Angel M. Eads | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Ekknoor K. Sahota | Internal Medicine | The Providence Community Health Centers Inc. | 100 Curtis St, Providence, RI 02909-3623 |
| Clarissa D. Lewis | Optometry | The Providence Community Health Centers Inc. | 335 Prairie Ave, Fl 2, Providence, RI 02905-1924 |
| Phina A Mayu | Nurse Practitioner | The Providence Community Health Centers Inc. | 1 Randall Sq, Providence, RI 02904-2709 |
| Nadine S Hewamudalige | Family Medicine | The Providence Community Health Centers Inc. | 239 Cranston St, Providence, RI 02907-2406 |
| Stanley Block | Allergy/immunology | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
| Sonal Patel | Family Medicine | The Providence Community Health Centers Inc. | 1 Warren Way, Providence, RI 02905-5000 |
| Erick R Soria Galvarro Duran | Internal Medicine | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
| Tariq K Malik | Internal Medicine | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
| Street Address |
375 ALLENS AVE |
| City | PROVIDENCE |
| State | RI |
| Zip | 02905-5010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stanley Block | Allergy/immunology | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
| Erick R Soria Galvarro Duran | Internal Medicine | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
| Tariq K Malik | Internal Medicine | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
| Emily M White | Obstetrics/gynecology | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
| Mark S Schnabel | Nurse Practitioner | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
| Jennifer Q. Fisher | Nurse Practitioner | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
| Desirae Heys | Nurse Practitioner | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
| Altug Koymen | Obstetrics/gynecology | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
| Therese M Zink | Family Medicine | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
| Karen Ng | Family Medicine | The Providence Community Health Centers Inc. | 375 Allens Ave, Providence, RI 02905-5010 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clarissa D. Lewis | Optometry | The Providence Community Health Centers Inc. | 335 Prairie Ave, Fl 2, Providence, RI 02905-1924 |
| Angel M. Eads | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Sandrine O Guilherme | Clinical Social Worker | The Providence Center Inc | 355 Prairie Ave, Providence, RI 02905-1928 |
| Katherine Williams | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Luis A Ferreira | Clinical Social Worker | The Providence Center Inc | 355 Prairie Ave, Providence, RI 02905-1928 |
| Andrew Saal | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Lauren E Stewart | Obstetrics/gynecology | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Tenesha R Lisbon | Nurse Practitioner | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Elaine K Parker Williams | Nurse Practitioner | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Carla Martin | Internal Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Find all physicians in zip 02905 | |||
| City | PROVIDENCE |
| Zip Code | 02905 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PROVIDENCE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Gwyneth Granton.
| 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.