| Edward C Keating, MD | |
| 
					950 Warren Avenue, 2nd Floor, East Providence, RI 02914-1432  | |
| (401) 606-1004 | |
| (401) 606-1153 | 
| Full Name | Edward C Keating | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Cardiovascular Disease | 
| Location | 950 Warren Avenue, East Providence, Rhode Island | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1295756765 | NPI | - | NPPES | 
| 7008471 | Medicaid | RI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | MD10438 (Rhode Island) | Primary | 
| Entity Name | The Miriam Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1851677470 PECOS PAC ID: 6901796408 Enrollment ID: O20120416000473  | 
| Entity Name | Lifespan Physician Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Edward C Keating, MD 950 Warren Avenue, 2nd Floor, East Providence, RI 02914-1432 Ph: (401) 606-1004  | Edward C Keating, MD 950 Warren Avenue, 2nd Floor, East Providence, RI 02914-1432 Ph: (401) 606-1004  | 
Matthew J Franco, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 900 Warren Ave, Suite 401, East Providence, RI 02914 Phone: 800-508-4908 Fax: 401-228-6236  | |
Mr. Michael F Gilson, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 950 Warren Ave, 2nd Floor, East Providence, RI 02914 Phone: 401-606-1004 Fax: 401-606-1153  | |
Dr. Christopher Song, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 950 Warren Ave, East Providence, RI 02914 Phone: 401-606-1004 Fax: 401-606-1153  | |
Dr. Ricardo Rafael Correa Marquez, M.D Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 900 Warren Avenue, Suite 300, East Providence, RI 02914 Phone: 786-246-5719  | |
May Min, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 950 Warren Ave Ste 301, East Providence, RI 02914 Phone: 401-606-4260  | |
Prerna Ganjoo, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 318 Waterman Ave, East Providence, RI 02914 Phone: 401-438-5950 Fax: 401-435-6700  | |
Mordecai Jeremiah Stolk, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 318 Waterman Ave, East Providence, RI 02914 Phone: 401-438-5950 Fax: 401-435-6700  |