| 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 | Orthopaedic Surgery |
| 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 | 1457772543 |
|---|---|
| Provider Enumeration Date | 12/17/2013 |
| Last Update Date | 01/20/2023 |
| Medicare PECOS PAC ID | 3274761069 |
|---|---|
| Medicare Enrollment ID | O20140404000644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457772543 | NPI | - | NPPES |
| PR95770 | Medicaid | RI |
| Provider Name | David B Stoll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114927431 PECOS PAC ID: 8325944895 Enrollment ID: I20031208000582 |
| Provider Name | Allison Louise Mcateer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942373279 PECOS PAC ID: 6608868468 Enrollment ID: I20040401000139 |
| Provider Name | Deborah M Hayden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144267394 PECOS PAC ID: 0345220547 Enrollment ID: I20040720000944 |
| Provider Name | John Morton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588648356 PECOS PAC ID: 6709845852 Enrollment ID: I20041005001146 |
| Provider Name | Irfan Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063460426 PECOS PAC ID: 2466413919 Enrollment ID: I20041019000999 |
| Provider Name | David J Cicerchia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386699064 PECOS PAC ID: 3476530452 Enrollment ID: I20050218000746 |
| Provider Name | Jonathan A Gastel |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1922042514 PECOS PAC ID: 1951388933 Enrollment ID: I20050218000768 |
| Provider Name | Steven N Graff |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1164461364 PECOS PAC ID: 7416934484 Enrollment ID: I20050218000825 |
| Provider Name | Syed Iftikhar Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144285081 PECOS PAC ID: 3678512779 Enrollment ID: I20050428000160 |
| Provider Name | Eric Walsh |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1366558496 PECOS PAC ID: 5395785364 Enrollment ID: I20050510000000 |
| Provider Name | Eric P Launer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457347395 PECOS PAC ID: 1355387051 Enrollment ID: I20050705000340 |
| Provider Name | Chandan Lakhiani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235134495 PECOS PAC ID: 0648299610 Enrollment ID: I20051118000388 |
| Provider Name | Margaret Ann Dicarlo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407874878 PECOS PAC ID: 0941220206 Enrollment ID: I20051203000070 |
| Provider Name | Kiersten Crawford |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376618934 PECOS PAC ID: 9830286137 Enrollment ID: I20071102000558 |
| Provider Name | Robin A Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750334728 PECOS PAC ID: 3274615224 Enrollment ID: I20080129000604 |
| Provider Name | Ravi Tandon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346399516 PECOS PAC ID: 7012089576 Enrollment ID: I20080630000033 |
| Provider Name | Stanley Balon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003860172 PECOS PAC ID: 8325147432 Enrollment ID: I20080709000624 |
| Provider Name | Nikhil Karanth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144332586 PECOS PAC ID: 1456422716 Enrollment ID: I20080723000012 |
| Provider Name | David J Coia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629181268 PECOS PAC ID: 5193883452 Enrollment ID: I20081015000581 |
| Provider Name | Susanna R Magee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487638003 PECOS PAC ID: 8921165176 Enrollment ID: I20090316000383 |
| Provider Name | David J Harrington |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205819000 PECOS PAC ID: 6103983549 Enrollment ID: I20090330000257 |
| Provider Name | Earle O Assanah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063692184 PECOS PAC ID: 6608926951 Enrollment ID: I20090609000225 |
| Provider Name | A Michael Coppa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114964251 PECOS PAC ID: 7810049954 Enrollment ID: I20090721000074 |
| Provider Name | Matthew J Rogalski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295998078 PECOS PAC ID: 7517007735 Enrollment ID: I20091221000106 |
| 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 | Nithin S Karanth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154583953 PECOS PAC ID: 6406048693 Enrollment ID: I20101006000623 |
| Provider Name | Jennifer L Hopgood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780963934 PECOS PAC ID: 4385816966 Enrollment ID: I20111003000593 |
| Provider Name | Bethany Wortman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083875876 PECOS PAC ID: 0042486706 Enrollment ID: I20111229000570 |
| Provider Name | Steven Leonard Blazar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700825908 PECOS PAC ID: 7719883545 Enrollment ID: I20120227000047 |
| Provider Name | Patrick Nugent |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801837638 PECOS PAC ID: 5395797211 Enrollment ID: I20121015000478 |
| Provider Name | Kristina R Shepherd |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013253079 PECOS PAC ID: 1456576958 Enrollment ID: I20140625000601 |
| Provider Name | Willa R Campbell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174931216 PECOS PAC ID: 5799009924 Enrollment ID: I20150119000136 |
| Provider Name | Danika Severino Wynn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063829950 PECOS PAC ID: 1850616301 Enrollment ID: I20150204002194 |
| Provider Name | Jennifer L Grande |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831579911 PECOS PAC ID: 9931414265 Enrollment ID: I20150817000891 |
| 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 | Arun S Karwal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780025387 PECOS PAC ID: 7012146798 Enrollment ID: I20160815000354 |
| Provider Name | Shenjun Zhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225477896 PECOS PAC ID: 8921395708 Enrollment ID: I20160921002788 |
| Provider Name | Katherine Alexandra Jarrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194163634 PECOS PAC ID: 8921236969 Enrollment ID: I20160928002488 |
| Provider Name | Meghan Henry |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821379876 PECOS PAC ID: 6800184607 Enrollment ID: I20161011001996 |
| Provider Name | Jessie M Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043652274 PECOS PAC ID: 4486876216 Enrollment ID: I20161012002431 |
| Provider Name | Katrina Sivo-souza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124557756 PECOS PAC ID: 8628342623 Enrollment ID: I20170914000680 |
| Provider Name | Jessica Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679831937 PECOS PAC ID: 9739198664 Enrollment ID: I20170923000484 |
| Provider Name | Grace A Snell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851773576 PECOS PAC ID: 8527369479 Enrollment ID: I20180404001149 |
| Provider Name | Erik Haniuk |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255786240 PECOS PAC ID: 5294078150 Enrollment ID: I20190515003176 |
| Provider Name | Megan Elizabeth Auld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053716993 PECOS PAC ID: 7719200906 Enrollment ID: I20191029000533 |
| Provider Name | Eilean L. Attwood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154551901 PECOS PAC ID: 6002002789 Enrollment ID: I20191108001549 |
| Provider Name | Mary Ann Ann Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588905046 PECOS PAC ID: 0345510459 Enrollment ID: I20200309001167 |
| Provider Name | Ashley O Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992323745 PECOS PAC ID: 2769892603 Enrollment ID: I20201105000330 |
| Provider Name | Odinaka Anyanwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053843482 PECOS PAC ID: 0244641470 Enrollment ID: I20201119001930 |
| Provider Name | Leanne Benson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972148047 PECOS PAC ID: 5294147419 Enrollment ID: I20201211002740 |
| 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 | Leandro R Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063073146 PECOS PAC ID: 2062747033 Enrollment ID: I20220615000611 |
| Provider Name | Tamara Chin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689235632 PECOS PAC ID: 2769711175 Enrollment ID: I20220802002046 |
| 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 | Konstantin Ravvin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851851901 PECOS PAC ID: 7113256207 Enrollment ID: I20230214001372 |
| Provider Name | Sarah Anne Hanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831802560 PECOS PAC ID: 2769840396 Enrollment ID: I20230614001352 |
| Provider Name | Gillian E Chase |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336708635 PECOS PAC ID: 0244650018 Enrollment ID: I20230830003504 |
| Provider Name | Colette Whitby |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225096480 PECOS PAC ID: 4284624966 Enrollment ID: I20240314003963 |
| Provider Name | Elisa M.d Glubok Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346879095 PECOS PAC ID: 4284096025 Enrollment ID: I20240423000586 |
| Provider Name | Cybill Oragwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093246514 PECOS PAC ID: 4284057894 Enrollment ID: I20240612001201 |
| Provider Name | Lyndsey Stadtmueller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992267447 PECOS PAC ID: 8729314984 Enrollment ID: I20250530001448 |
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Cvs Healthcare Practices Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Cvs Dr, Woonsocket, RI 02895 Phone: 866-389-2727 | |
Virtual Primary Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Cvs Dr, Woonsocket, RI 02895 Phone: 866-389-2727 | |
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