| Atmed Primary Care Inc | |
|
1526 Atwood Ave Suite 220 Johnston RI 02919-3289 | |
| (401) 273-2339 | |
| (401) 272-7863 |
| Full Name | Atmed Primary Care Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1526 Atwood Ave, Johnston, Rhode Island |
| Authorized Official Name and Position | Stephen Scott (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4012725468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atmed Primary Care Inc 1526 Atwood Ave Suite 220 Johnston RI 02919-3289 Ph: (401) 273-2339 | Atmed Primary Care Inc 1526 Atwood Ave Suite 220 Johnston RI 02919-3289 Ph: (401) 273-2339 |
| NPI Number | 1750410361 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5294789392 |
|---|---|
| Medicare Enrollment ID | O20050311000149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750410361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Rhode Island) | Primary |
| Provider Name | Stephen M Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730152505 PECOS PAC ID: 7911938121 Enrollment ID: I20050827000168 |
| Provider Name | P Wilfredo Canchis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518018811 PECOS PAC ID: 9133225832 Enrollment ID: I20070425000682 |
| Provider Name | David J Coia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629181268 PECOS PAC ID: 5193883452 Enrollment ID: I20081015000581 |
| Provider Name | Daniel L Regan |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1972619864 PECOS PAC ID: 8729245824 Enrollment ID: I20120201000292 |
| Provider Name | Ellen F. Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578080909 PECOS PAC ID: 6608142542 Enrollment ID: I20171020002619 |
| Provider Name | Nicholas Ryan Chasse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063991024 PECOS PAC ID: 4385995562 Enrollment ID: I20180927000922 |
| Provider Name | Jordan Lizotte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265170492 PECOS PAC ID: 1052782547 Enrollment ID: I20230119002940 |
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