| Paul Dionisopoulos, MD | |
|
1637 Mineral Spring Ave, North Providence, RI 02904-4042 | |
| (401) 353-1012 | |
| (401) 353-6362 |
| Full Name | Paul Dionisopoulos |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1637 Mineral Spring Ave, North 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 |
|---|---|---|---|
| 1225081813 | NPI | - | NPPES |
| 0410540001 | Other | RI | DME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD10188 (Rhode Island) | Primary |
| 207R00000X | Internal Medicine | RI10188 (Rhode Island) | Secondary |
| Entity Name | Ocean State Urgent Care Center Of Cumberland Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275971400 PECOS PAC ID: 0941442495 Enrollment ID: O20130813000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Dionisopoulos, MD 1637 Mineral Spring Ave, Suite 115, North Providence, RI 02904-4042 Ph: (401) 353-1012 | Paul Dionisopoulos, MD 1637 Mineral Spring Ave, North Providence, RI 02904-4042 Ph: (401) 353-1012 |
Debra L. Dale-walek, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3000 | |
Carolyn K. Mcgrath, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3000 | |
Kevin P. O'connell, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3000 | |
Diane M. Reali Marini, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3000 | |
Susan D Casper, PA Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3000 | |
Dr. David Julian Goldstein, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3402 |