| Internal Medicine Associates Inc | |
|
1150 Reservoir Ave Suite 201 Cranston RI 02920 | |
| (401) 943-1300 | |
| (401) 946-8480 |
| Full Name | Internal Medicine Associates Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1150 Reservoir Ave, Cranston, Rhode Island |
| Authorized Official Name and Position | Thomas Mcgreen (VP) |
| Authorized Official Contact | 4019431300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Associates Inc 1150 Reservoir Ave Suite 201 Cranston RI 02920 Ph: (401) 943-1300 | Internal Medicine Associates Inc 1150 Reservoir Ave Suite 201 Cranston RI 02920 Ph: (401) 943-1300 |
| NPI Number | 1376553990 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 01/07/2020 |
| Certification Date | 01/07/2020 |
| Medicare PECOS PAC ID | 9234029257 |
|---|---|
| Medicare Enrollment ID | O20040316000141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376553990 | NPI | - | NPPES |
| IM02288 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| Provider Name | Morris P Elevado |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417941105 PECOS PAC ID: 3375432115 Enrollment ID: I20040311000518 |
| Provider Name | Deirdre E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326032004 PECOS PAC ID: 5799738886 Enrollment ID: I20050301000679 |
| Provider Name | Thomas H Mcgreen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043205537 PECOS PAC ID: 0749476653 Enrollment ID: I20101117001646 |
| Provider Name | Robert Wolfgang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871587550 PECOS PAC ID: 3476749383 Enrollment ID: I20101118000006 |
| Provider Name | Robert J Bierwirth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053517565 PECOS PAC ID: 8426214859 Enrollment ID: I20120730000262 |
| Provider Name | Deirdre O Couture |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871645341 PECOS PAC ID: 1759604960 Enrollment ID: I20141219000237 |
| Provider Name | Colin Matthew Woodard |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760820591 PECOS PAC ID: 3779872916 Enrollment ID: I20190723001173 |
| Provider Name | Raejean Elizabeth Sparrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447845037 PECOS PAC ID: 3971904475 Enrollment ID: I20210622000567 |
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