| Dominic John Roda, DPM | |
|
41 Sanderson Rd, Ste 207, Smithfield, RI 02917-2602 | |
| (401) 949-3220 | |
| Not Available |
| Full Name | Dominic John Roda |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 15 Years |
| Location | 41 Sanderson Rd, Smithfield, 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 |
|---|---|---|---|
| 1407144264 | NPI | - | NPPES |
| DPM00342 | Other | RI | RI STATE LICENSE |
| CLPR00104 | Other | RI | RHODE ISLAND LIMITED LISCENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | DPM00342 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of Fatima Hospital | North providence, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| David M. Colannino, Dpm, Inc. | 1052341195 | 3 |
| Carelink, Inc. | 4688751522 | 2 |
| Prospect Chartercare Sjhsri Llc | 7315179314 | 24 |
| Provider Name | David M. Colannino, Dpm, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740355379 PECOS PAC ID: 1052341195 Enrollment ID: O20050817001062 |
| Provider Name | Prospect Chartercare Sjhsri Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588089759 PECOS PAC ID: 7315179314 Enrollment ID: O20140722001928 |
| Provider Name | Carelink, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386827889 PECOS PAC ID: 4688751522 Enrollment ID: O20170615000812 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominic John Roda, DPM 33 Symonds Ave, Warwick, RI 02889-3517 Ph: (508) 685-6155 | Dominic John Roda, DPM 41 Sanderson Rd, Ste 207, Smithfield, RI 02917-2602 Ph: (401) 949-3220 |
University Foot & Ankle Center Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 900 Douglas Pike Ste A, Smithfield, RI 02917 Phone: 401-861-8830 | |
Dr. Frederick Henry Swain, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3 Laurel Ct, Smithfield, RI 02917 Phone: 401-232-9077 Fax: 401-232-9077 | |
David M. Colannino, Dpm, Inc. Podiatrist Medicare: Medicare Enrolled Practice Location: 41 Sanderson Rd, Suite#207, Smithfield, RI 02917 Phone: 401-949-3220 Fax: 401-949-3296 | |
Dr. David M Colannino, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 41 Sanderson Rd, Suite 207, Smithfield, RI 02917 Phone: 401-949-3220 Fax: 401-949-3296 |