| Gps Physician Group Of Rhode Island Pc | |
|
10 Woodland Dr Coventry RI 02816-6716 | |
| (401) 826-2000 | |
| Not Available |
| Full Name | Gps Physician Group Of Rhode Island Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10 Woodland Dr, Coventry, Rhode Island |
| Authorized Official Name and Position | Eric Shapiro (VP/AREA CONTROLLER) |
| Authorized Official Contact | 4108327790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gps Physician Group Of Rhode Island Pc Po Box 42738 Towson MD 21284-2738 Ph: (410) 494-7607 | Gps Physician Group Of Rhode Island Pc 10 Woodland Dr Coventry RI 02816-6716 Ph: (401) 826-2000 |
| NPI Number | 1568831162 |
|---|---|
| Provider Enumeration Date | 09/24/2015 |
| Last Update Date | 08/05/2019 |
| Medicare PECOS PAC ID | 0840590477 |
|---|---|
| Medicare Enrollment ID | O20151203000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568831162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Sunil Paul Verma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710966775 PECOS PAC ID: 0749188977 Enrollment ID: I20031230000675 |
| Provider Name | Sharon S Farber |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1073596714 PECOS PAC ID: 9739124322 Enrollment ID: I20050623000803 |
| Provider Name | Dawn Cater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073555645 PECOS PAC ID: 1355351453 Enrollment ID: I20060504000122 |
| Provider Name | Geraldina Kica |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801857255 PECOS PAC ID: 9234134008 Enrollment ID: I20111220000029 |
| Provider Name | Fabian Delgado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629277454 PECOS PAC ID: 4082802368 Enrollment ID: I20200217002383 |
| Provider Name | Joanna Mola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538567078 PECOS PAC ID: 0648596114 Enrollment ID: I20210707000870 |
| Provider Name | Edith Yeboah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083299499 PECOS PAC ID: 1355749037 Enrollment ID: I20211011001347 |
| Provider Name | Nnamdi O Amaechina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144531518 PECOS PAC ID: 7810123106 Enrollment ID: I20221216001046 |
| Provider Name | Gifty Maasang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972213411 PECOS PAC ID: 8921477613 Enrollment ID: I20221220002392 |
| Provider Name | Kimberley Sue Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972223212 PECOS PAC ID: 3274900691 Enrollment ID: I20230302000507 |
| Provider Name | Chandni Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568089860 PECOS PAC ID: 8729444880 Enrollment ID: I20230515002847 |
| Provider Name | Julius Tabe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801093356 PECOS PAC ID: 8729104963 Enrollment ID: I20240227003416 |
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