| Michael D Connolly, MD | |
|
455 Toll Gate Road, Asp Building, Warwick, RI 02886-2759 | |
| (401) 738-6611 | |
| (401) 921-6952 |
| Full Name | Michael D Connolly |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 25 Years |
| Location | 455 Toll Gate Road, Warwick, Rhode Island |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841410743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD12986 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Home & Hospice Care Of Rhode Island | Providence, RI | Hospice |
| Kent County Memorial Hospital | Warwick, RI | Hospital |
| Rhode Island Hospital | Providence, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifespan Physician Group Inc | 2567455082 | 997 |
| University Surgical Associates, Inc. | 4082503032 | 109 |
| Affinity Physicians Llc. | 0244413391 | 733 |
| Entity Name | University Surgical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376589895 PECOS PAC ID: 4082503032 Enrollment ID: O20040818001275 |
| Entity Name | Silver Spring Health Care Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619157468 PECOS PAC ID: 4688661127 Enrollment ID: O20080204000391 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Connolly, MD 455 Toll Gate Road, Prc And Credentialing, Warwick, RI 02886-2759 Ph: (401) 273-0641 | Michael D Connolly, MD 455 Toll Gate Road, Asp Building, Warwick, RI 02886-2759 Ph: (401) 738-6611 |
Taher Mustafa Gulamhusein, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-738-6611 Fax: 401-921-6952 | |
Dr. Peter K Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-737-7010 Fax: 401-738-0013 | |
Dr. John Isaac Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 390 Toll Gate Rd, Ste.200, Warwick, RI 02886 Phone: 401-739-8010 Fax: 401-739-6087 | |
Dr. Travis Mcfarlane Cotton, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 455 Toll Gate Road, Asp Building, Warwick, RI 02886 Phone: 401-738-6611 Fax: 401-921-6952 | |
Dr. Daniel B. Reardon, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 390 Toll Gate Rd, Ste.200, Warwick, RI 02886 Phone: 401-691-3300 Fax: 401-739-6087 | |
Dr. Sebastian Trombatore, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 300 Toll Gate Rd, Suite 305, Warwick, RI 02886 Phone: 401-738-6611 Fax: 401-738-0013 | |
Shakti Aishwarya Rau, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-738-6611 Fax: 401-921-6952 |