| Prime Healthcare Services Landmark Llc | |
|
219 Cass Ave Woonsocket RI 02895-4736 | |
| (401) 769-4100 | |
| (401) 766-9575 |
| Full Name | Prime Healthcare Services Landmark Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 219 Cass Ave, Woonsocket, Rhode Island |
| Authorized Official Name and Position | Stacy Viens (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4017694100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Healthcare Services Landmark Llc 219 Cass Ave Woonsocket RI 02895-4736 Ph: (401) 769-4100 | Prime Healthcare Services Landmark Llc 219 Cass Ave Woonsocket RI 02895-4736 Ph: (401) 769-4100 |
| NPI Number | 1518388651 |
|---|---|
| Provider Enumeration Date | 12/16/2013 |
| Last Update Date | 01/11/2017 |
| Medicare PECOS PAC ID | 3274761069 |
|---|---|
| Medicare Enrollment ID | O20140428000588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518388651 | NPI | - | NPPES |
| PR95788 | Medicaid | RI |
| Provider Name | Najam A Zaidi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679558266 PECOS PAC ID: 9537072186 Enrollment ID: I20031110000393 |
| Provider Name | David B Stoll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114927431 PECOS PAC ID: 8325944895 Enrollment ID: I20031208000582 |
| Provider Name | Philip Philips |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346221686 PECOS PAC ID: 2668373994 Enrollment ID: I20040119000518 |
| Provider Name | Alexander Philips |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528059193 PECOS PAC ID: 2163323403 Enrollment ID: I20040119000551 |
| Provider Name | Jane Freitas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659388544 PECOS PAC ID: 5991690448 Enrollment ID: I20040216000480 |
| Provider Name | Morris P Elevado |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417941105 PECOS PAC ID: 3375432115 Enrollment ID: I20040311000518 |
| Provider Name | Allison Louise Mcateer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942373279 PECOS PAC ID: 6608868468 Enrollment ID: I20040401000139 |
| Provider Name | Michael R Heru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982651626 PECOS PAC ID: 1355336058 Enrollment ID: I20040420000557 |
| Provider Name | Ahmed Nadeem |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952332041 PECOS PAC ID: 0244227700 Enrollment ID: I20040427000974 |
| Provider Name | Duane T Golomb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801924170 PECOS PAC ID: 3476538315 Enrollment ID: I20040623000967 |
| Provider Name | Vitaliy Chernyy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376533711 PECOS PAC ID: 2860479367 Enrollment ID: I20040702000037 |
| Provider Name | Bahram Shah-hosseini |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932138203 PECOS PAC ID: 9436137619 Enrollment ID: I20040713000965 |
| Provider Name | Syed R Mehdi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962439786 PECOS PAC ID: 1658348347 Enrollment ID: I20040913000808 |
| Provider Name | Peter Petropoulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346291903 PECOS PAC ID: 2264491802 Enrollment ID: I20041008000049 |
| Provider Name | Ramon D Llamas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902971559 PECOS PAC ID: 4183682933 Enrollment ID: I20041227000265 |
| Provider Name | Robyn A Puleo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669589701 PECOS PAC ID: 7517916109 Enrollment ID: I20050120001030 |
| Provider Name | Wajahat Faheem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053323691 PECOS PAC ID: 6608827357 Enrollment ID: I20050210000058 |
| Provider Name | Debbi M Mcinteer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952386450 PECOS PAC ID: 0648225284 Enrollment ID: I20050317000018 |
| Provider Name | Dilek Cermik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780663286 PECOS PAC ID: 5799731840 Enrollment ID: I20050322001146 |
| Provider Name | Syed Iftikhar Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144285081 PECOS PAC ID: 3678512779 Enrollment ID: I20050428000160 |
| Provider Name | Harold R Moore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033174008 PECOS PAC ID: 8426004466 Enrollment ID: I20051115000866 |
| Provider Name | Anna Bunch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336149459 PECOS PAC ID: 7618996539 Enrollment ID: I20051121000056 |
| Provider Name | Nebyou Belay |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1194810507 PECOS PAC ID: 2860491032 Enrollment ID: I20061216000077 |
| Provider Name | Sadaf Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710091335 PECOS PAC ID: 1153345541 Enrollment ID: I20070522000612 |
| Provider Name | Lisa M Frappier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619975802 PECOS PAC ID: 1052403326 Enrollment ID: I20070816000799 |
| Provider Name | Kazi M Salahuddin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558306225 PECOS PAC ID: 0042302952 Enrollment ID: I20070823000440 |
| Provider Name | Karin L Orourke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750500757 PECOS PAC ID: 0345335584 Enrollment ID: I20071002000729 |
| Provider Name | Fadi Al Bilbeisi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205881620 PECOS PAC ID: 6002915451 Enrollment ID: I20071108000343 |
| Provider Name | Richard E Vannieuwenhuize |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346337177 PECOS PAC ID: 6103915996 Enrollment ID: I20071130000640 |
| Provider Name | Keith W L Rafal |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487755963 PECOS PAC ID: 3779666086 Enrollment ID: I20080211000166 |
| Provider Name | Michele Garazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093951790 PECOS PAC ID: 7416012000 Enrollment ID: I20090216000005 |
| Provider Name | A Michael Coppa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114964251 PECOS PAC ID: 7810049954 Enrollment ID: I20090721000074 |
| Provider Name | Altaf Girach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801982491 PECOS PAC ID: 2668514860 Enrollment ID: I20100127000183 |
| Provider Name | Avanish Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619932282 PECOS PAC ID: 3072655083 Enrollment ID: I20100128000364 |
| Provider Name | Walid Sherif Mohamed Saber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043234958 PECOS PAC ID: 2860498466 Enrollment ID: I20100701000191 |
| Provider Name | Michelle Palmer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013060391 PECOS PAC ID: 8628100831 Enrollment ID: I20100722000673 |
| Provider Name | Sharon Nancy Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285958413 PECOS PAC ID: 6204960354 Enrollment ID: I20100811001021 |
| Provider Name | Syed A Naqvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306044409 PECOS PAC ID: 3870619232 Enrollment ID: I20100923000484 |
| Provider Name | Mark Rosenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053412767 PECOS PAC ID: 9537053731 Enrollment ID: I20101027000167 |
| Provider Name | Greigstone M Yearwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689631640 PECOS PAC ID: 9032205828 Enrollment ID: I20101207000878 |
| Provider Name | Ibrahim A Elgabry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518969195 PECOS PAC ID: 5395703763 Enrollment ID: I20110307000745 |
| Provider Name | Richard William Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114122595 PECOS PAC ID: 9830364041 Enrollment ID: I20111215000669 |
| Provider Name | Felipe Vivas Orozco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790914158 PECOS PAC ID: 5597914168 Enrollment ID: I20120926000299 |
| Provider Name | Richard K Lim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992936744 PECOS PAC ID: 4082864236 Enrollment ID: I20121024000060 |
| Provider Name | Ahmed A Hamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053689992 PECOS PAC ID: 8921259664 Enrollment ID: I20121106000548 |
| Provider Name | Inna Ryvkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316189442 PECOS PAC ID: 5890947717 Enrollment ID: I20121128000495 |
| Provider Name | Aleksandra S Phillips |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316018450 PECOS PAC ID: 7012969439 Enrollment ID: I20130731000274 |
| Provider Name | Ghazi G. Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972815306 PECOS PAC ID: 2062654650 Enrollment ID: I20130812000071 |
| Provider Name | Camille K Williams |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508011842 PECOS PAC ID: 5698919843 Enrollment ID: I20130910000583 |
| Provider Name | Ambreen Ijaz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194831925 PECOS PAC ID: 1951579929 Enrollment ID: I20140113000627 |
| Provider Name | Kamran Manzoor |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942408943 PECOS PAC ID: 1456443225 Enrollment ID: I20140115001305 |
| Provider Name | Mohamedtauquir M Puthawala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659662831 PECOS PAC ID: 1355582743 Enrollment ID: I20140625000710 |
| Provider Name | Gerald F Dornhecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306994538 PECOS PAC ID: 3870698434 Enrollment ID: I20150505000143 |
| Provider Name | Irene Gianiotis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831590595 PECOS PAC ID: 4486974243 Enrollment ID: I20150518002047 |
| Provider Name | Mohammad Faizul Suhail |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255694451 PECOS PAC ID: 6507173036 Enrollment ID: I20150916001937 |
| Provider Name | Garron Lamp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639592462 PECOS PAC ID: 6305153347 Enrollment ID: I20150923002126 |
| Provider Name | Peter D Covino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780062356 PECOS PAC ID: 2163730086 Enrollment ID: I20150925002330 |
| Provider Name | Kolawole Omodayo Atandeyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669608436 PECOS PAC ID: 8527222926 Enrollment ID: I20151028002166 |
| Provider Name | Mary K Schwartz Mumford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306995675 PECOS PAC ID: 9133150352 Enrollment ID: I20151123002394 |
| Provider Name | Dmitry Reznikoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902989502 PECOS PAC ID: 1355331984 Enrollment ID: I20151215000886 |
| Provider Name | John J Loffarelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194728329 PECOS PAC ID: 5890770259 Enrollment ID: I20160203001865 |
| Provider Name | Shaylyn K Mcteague |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083046833 PECOS PAC ID: 6800180662 Enrollment ID: I20160802002931 |
| Provider Name | Arun S Karwal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780025387 PECOS PAC ID: 7012146798 Enrollment ID: I20160815000354 |
| Provider Name | Dona Bugov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518388677 PECOS PAC ID: 6204121130 Enrollment ID: I20160817000558 |
| Provider Name | Than Win |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427098581 PECOS PAC ID: 3173526167 Enrollment ID: I20160829003361 |
| Provider Name | Andrew E Robin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235546391 PECOS PAC ID: 4880980846 Enrollment ID: I20160831001643 |
| Provider Name | Shenjun Zhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225477896 PECOS PAC ID: 8921395708 Enrollment ID: I20160921002788 |
| Provider Name | Mohit Kale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720420128 PECOS PAC ID: 4981983814 Enrollment ID: I20161117001175 |
| Provider Name | Paul Alexandrov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215358510 PECOS PAC ID: 3375826449 Enrollment ID: I20170215002038 |
| Provider Name | Damodar Naidu Penigalapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104250943 PECOS PAC ID: 6406137249 Enrollment ID: I20170707001252 |
| Provider Name | Katrina Sivo-souza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124557756 PECOS PAC ID: 8628342623 Enrollment ID: I20170914000680 |
| Provider Name | Miranda R Wing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376898569 PECOS PAC ID: 3678723210 Enrollment ID: I20180417002320 |
| Provider Name | Sandeep Arepally |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366738387 PECOS PAC ID: 2567760648 Enrollment ID: I20180803000798 |
| Provider Name | Marjorie J Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083683239 PECOS PAC ID: 8123013554 Enrollment ID: I20181008002819 |
| Provider Name | Danielle E Harik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902225816 PECOS PAC ID: 0446521454 Enrollment ID: I20181107000658 |
| Provider Name | Alexander Parpas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356752448 PECOS PAC ID: 0648560649 Enrollment ID: I20190207000229 |
| Provider Name | Erik Haniuk |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255786240 PECOS PAC ID: 5294078150 Enrollment ID: I20190515003176 |
| Provider Name | Ahmed S Elshazly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881045334 PECOS PAC ID: 5597008201 Enrollment ID: I20190521002349 |
| Provider Name | Aaron P Wheeler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104278472 PECOS PAC ID: 6305131376 Enrollment ID: I20190702000226 |
| Provider Name | Jenny R David |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275916702 PECOS PAC ID: 3971809724 Enrollment ID: I20191018000339 |
| Provider Name | Megan Elizabeth Auld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053716993 PECOS PAC ID: 7719200906 Enrollment ID: I20191029000533 |
| Provider Name | Jenna M Iannuccilli |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609229798 PECOS PAC ID: 2668750555 Enrollment ID: I20191204000116 |
| Provider Name | Maureen Wood |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023139987 PECOS PAC ID: 6709812902 Enrollment ID: I20200102001287 |
| Provider Name | Toribio Lugo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790044725 PECOS PAC ID: 8224389481 Enrollment ID: I20200103002090 |
| Provider Name | Jordan A Kazakov |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144523630 PECOS PAC ID: 4587899257 Enrollment ID: I20200109002084 |
| Provider Name | Anas Wardeh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295705598 PECOS PAC ID: 0345219341 Enrollment ID: I20200210000990 |
| Provider Name | Aldea Yanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396015491 PECOS PAC ID: 6507293701 Enrollment ID: I20200228000567 |
| Provider Name | Dennis S Guadarrama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619350402 PECOS PAC ID: 2365870607 Enrollment ID: I20200319000939 |
| Provider Name | Ashley O Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992323745 PECOS PAC ID: 2769892603 Enrollment ID: I20201105000330 |
| Provider Name | Dalia Saha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033311204 PECOS PAC ID: 9830344043 Enrollment ID: I20201119000778 |
| Provider Name | Odinaka Anyanwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053843482 PECOS PAC ID: 0244641470 Enrollment ID: I20201119001930 |
| Provider Name | Vignesh Ponnusamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740662931 PECOS PAC ID: 8224373287 Enrollment ID: I20210125000280 |
| Provider Name | George Eboh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891227799 PECOS PAC ID: 2860806353 Enrollment ID: I20210125000655 |
| Provider Name | Joanmarie Pellegrini |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265402242 PECOS PAC ID: 2668404898 Enrollment ID: I20210125001072 |
| Provider Name | Bernardino Villescas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194167262 PECOS PAC ID: 2860772753 Enrollment ID: I20210125001588 |
| Provider Name | Christopher Hansen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164797494 PECOS PAC ID: 6204135973 Enrollment ID: I20210127002248 |
| Provider Name | Suraj Ram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841451341 PECOS PAC ID: 5092122150 Enrollment ID: I20210528002279 |
| Provider Name | Sarah Shihadeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922442235 PECOS PAC ID: 0244527901 Enrollment ID: I20210611002507 |
| Provider Name | Yu Zhao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780177758 PECOS PAC ID: 2668722612 Enrollment ID: I20210617001853 |
| Provider Name | Cristian Hiraldo-infante |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376039867 PECOS PAC ID: 1951645456 Enrollment ID: I20210803002482 |
| Provider Name | Sarah Elizabeth Sterns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699150813 PECOS PAC ID: 5799037586 Enrollment ID: I20210825000740 |
| Provider Name | Dong Joo Seo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750877221 PECOS PAC ID: 7113259805 Enrollment ID: I20211013003694 |
| Provider Name | Jerry Mathew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629509567 PECOS PAC ID: 8123356722 Enrollment ID: I20220105002554 |
| Provider Name | Kira Physicians Neel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245790013 PECOS PAC ID: 6800123357 Enrollment ID: I20220613002267 |
| Provider Name | Leandro R Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063073146 PECOS PAC ID: 2062747033 Enrollment ID: I20220615000611 |
| Provider Name | Mansoor Arif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851677132 PECOS PAC ID: 0547582652 Enrollment ID: I20220719002741 |
| Provider Name | Cailey Indech |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073073581 PECOS PAC ID: 3072989888 Enrollment ID: I20221019002735 |
| Provider Name | Tanuj Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700271814 PECOS PAC ID: 8729457544 Enrollment ID: I20221216001096 |
| Provider Name | Shabana Majeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407044654 PECOS PAC ID: 4587735766 Enrollment ID: I20230220002083 |
| Provider Name | Laurie B Griffin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396238325 PECOS PAC ID: 9638597081 Enrollment ID: I20230510001547 |
| Provider Name | Adderly Marcell Toribio De Jesus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689235723 PECOS PAC ID: 0446610372 Enrollment ID: I20230724002063 |
| Provider Name | Ahmed Hamdi Eldib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801405147 PECOS PAC ID: 9133532674 Enrollment ID: I20230731001285 |
| Provider Name | Gillian E Chase |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336708635 PECOS PAC ID: 0244650018 Enrollment ID: I20230830003504 |
| Provider Name | Ahmed Eid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407264476 PECOS PAC ID: 6406154806 Enrollment ID: I20230905001605 |
| Provider Name | Colette Whitby |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225096480 PECOS PAC ID: 4284624966 Enrollment ID: I20240314003963 |
| Provider Name | Cybill Oragwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093246514 PECOS PAC ID: 4284057894 Enrollment ID: I20240612001201 |
| Provider Name | Stephanie Ann Earle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831621549 PECOS PAC ID: 7618415381 Enrollment ID: I20240813000605 |
| Provider Name | Kenneth Garcia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154374544 PECOS PAC ID: 0244289502 Enrollment ID: I20241104001571 |
Community Care Alliance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Cummings Way, Woonsocket, RI 02895 Phone: 401-235-7000 | |
Blackstone Medical Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Cass Ave, Woonsocket, RI 02895 Phone: 401-769-4100 | |
Cvs Healthcare Practices Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Cvs Dr, Woonsocket, RI 02895 Phone: 866-389-2727 | |
Minuteclinic Diagnostic Of Rhode Island, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1054 Cass Ave, Woonsocket, RI 02895 Phone: 855-417-2486 | |
Discovery House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1625 Diamond Hill Rd, Woonsocket, RI 02895 Phone: 401-762-1511 | |
Minuteclinic Video Virtual Care, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Cvs Dr, Woonsocket, RI 02895 Phone: 855-417-2486 | |
Community Staffing Resources Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Clinton St, Woonsocket, RI 02895 Phone: 401-765-5230 |