| Paul William Roderick, MD | |
|
1150 Reservoir Ave, Suite 201, Cranston, RI 02920-6068 | |
| (401) 943-1300 | |
| (401) 946-8480 |
| Full Name | Paul William Roderick |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1150 Reservoir Ave, Cranston, 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 |
|---|---|---|---|
| 1831183904 | NPI | - | NPPES |
| IM02288 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | RI5529 (Rhode Island) | Primary |
| Entity Name | Internal Medicine Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376553990 PECOS PAC ID: 9234029257 Enrollment ID: O20040316000141 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul William Roderick, MD 1150 Reservoir Ave, Suite 201, Cranston, RI 02920-6068 Ph: (401) 943-1300 | Paul William Roderick, MD 1150 Reservoir Ave, Suite 201, Cranston, RI 02920-6068 Ph: (401) 943-1300 |
Thomas Henry Mcgreen, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1150 Reservoir Ave, Suite 201, Cranston, RI 02920 Phone: 401-943-1300 Fax: 401-946-8480 | |
Dr. Gregory G Allen, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1681 Cranston St, Suite D, Cranston, RI 02920 Phone: 401-946-8446 Fax: 401-946-8340 | |
Dr. Robert L Graves, D.O. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1150 Reservoir Ave, Suite 304, Cranston, RI 02920 Phone: 401-942-3330 Fax: 401-942-3833 | |
Dr. Robert John Bierwirth, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1150 Reservoir Ave, Suite 201, Cranston, RI 02920 Phone: 401-943-1300 | |
Dr. Steven Michael Sepe, M.D., PH.D Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 25 Belle Isle Way, Cranston, RI 02921 Phone: 401-942-7843 Fax: 401-942-7843 | |
Ms. Jun O Parks, M. D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 333 Budlong Rd, Cranston, RI 02920 Phone: 401-943-4530 | |
Dr. James Kenneth Cardi, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1145 Reservoir Ave, Cranston, RI 02920 Phone: 401-942-6500 |