| Brain & Spine Neurosurgical Institute, Llc | |
|
1526 Atwood Avenue Suite 200 Johnston RI 02919 | |
| (401) 270-5395 | |
| (401) 270-7635 |
| Full Name | Brain & Spine Neurosurgical Institute, Llc |
|---|---|
| Speciality | Neurological Surgery |
| Location | 1526 Atwood Avenue, Johnston, Rhode Island |
| Authorized Official Name and Position | Sumit Kumar Das (PRESIDENT) |
| Authorized Official Contact | 4012705395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain & Spine Neurosurgical Institute, Llc 25 Thurber Blvd Unit 6 Smithfield RI 02917-1816 Ph: (401) 404-2975 | Brain & Spine Neurosurgical Institute, Llc 1526 Atwood Avenue Suite 200 Johnston RI 02919 Ph: (401) 270-5395 |
| NPI Number | 1558304212 |
|---|---|
| Provider Enumeration Date | 06/13/2006 |
| Last Update Date | 04/18/2019 |
| Medicare PECOS PAC ID | 9931175841 |
|---|---|
| Medicare Enrollment ID | O20040902000500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558304212 | NPI | - | NPPES |
| SD50629 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 207T00000X | Neurological Surgery | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| Provider Name | Susan D Weinman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215969944 PECOS PAC ID: 7517953235 Enrollment ID: I20040420001501 |
| Provider Name | Gus G Stratton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447219811 PECOS PAC ID: 3971579723 Enrollment ID: I20040903000014 |
| Provider Name | Thomas R Rocco |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326016528 PECOS PAC ID: 0840240537 Enrollment ID: I20061106000549 |
| Provider Name | John A Phillip |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285617696 PECOS PAC ID: 1557362365 Enrollment ID: I20070122000561 |
| Provider Name | Sumit K Das |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932180429 PECOS PAC ID: 9931105970 Enrollment ID: I20070206000585 |
| Provider Name | A Michael Coppa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114964251 PECOS PAC ID: 7810049954 Enrollment ID: I20090721000074 |
| Provider Name | Mohini Yalanis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255652681 PECOS PAC ID: 7416073325 Enrollment ID: I20100929000087 |
| Provider Name | Christy Paiva |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568625036 PECOS PAC ID: 1557538469 Enrollment ID: I20120220001016 |
| Provider Name | Jessica Elizabeth Madison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770821910 PECOS PAC ID: 2860630134 Enrollment ID: I20130528000195 |
| Provider Name | Benjamin S Simms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437558913 PECOS PAC ID: 3476878547 Enrollment ID: I20150212000242 |
The Journey To Hope, Health & Healing, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 985 Plainfield Street, Johnston, RI 02919 Phone: 401-946-0650 Fax: 401-406-3771 | |
Tri-town Substance Abuse Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1126 Hartford Ave, Johnston, RI 02919 Phone: 401-351-2750 Fax: 401-351-6613 | |
Gateway Healthcare, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1443 Hartford Ave, Johnston, RI 02919 Phone: 401-553-1033 Fax: 401-861-8696 | |
Albert J. Marano, Md, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1526 Atwood Ave, Suite 200, Johnston, RI 02919 Phone: 401-272-7660 Fax: 401-421-2730 | |
Delta Consultants West, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1395 Atwood Ave, Suite 213, Johnston, RI 02919 Phone: 401-944-9888 Fax: 401-944-5888 | |
Ocean State Counseling And Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1395 Atwood Ave, Suite 206, Johnston, RI 02919 Phone: 401-241-3344 Fax: 888-458-2467 | |
Bhg Lvii, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 985 Plainfield St, Johnston, RI 02919 Phone: 401-946-0650 |