| Womens Medicine Collaborative | |
|
146 W River St Providence RI 02904-2609 | |
| (401) 793-3215 | |
| Not Available |
| Full Name | Womens Medicine Collaborative |
|---|---|
| Speciality | Clinic/Center |
| Location | 146 W River St, Providence, Rhode Island |
| Authorized Official Name and Position | Peter K Markell (EVP & CFO) |
| Authorized Official Contact | 4014447914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Womens Medicine Collaborative 117 Ellenfield St Ste 101 Providence RI 02905-4541 Ph: (401) 444-6779 | Womens Medicine Collaborative 146 W River St Providence RI 02904-2609 Ph: (401) 793-3215 |
| NPI Number | 1164716031 |
|---|---|
| Provider Enumeration Date | 06/08/2011 |
| Last Update Date | 04/20/2023 |
| Medicare PECOS PAC ID | 6901796408 |
|---|---|
| Medicare Enrollment ID | O20110928000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164716031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | HOS00122 (Rhode Island) | Primary |
| Provider Name | Insu Kong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346227188 PECOS PAC ID: 4688588171 Enrollment ID: I20031118000862 |
| Provider Name | Charu Taneja |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1457318834 PECOS PAC ID: 0547242661 Enrollment ID: I20040603000025 |
| Provider Name | Mary Derosa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649290024 PECOS PAC ID: 5991787038 Enrollment ID: I20040603000160 |
| Provider Name | Doreen L Wiggins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093734204 PECOS PAC ID: 7810979960 Enrollment ID: I20040603000248 |
| Provider Name | Fadlallah Habr |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619924651 PECOS PAC ID: 9335123967 Enrollment ID: I20040614000392 |
| Provider Name | Geetha Gopalakrishnan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235183450 PECOS PAC ID: 1456335934 Enrollment ID: I20040614000876 |
| Provider Name | Iris L Tong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033150586 PECOS PAC ID: 2567446966 Enrollment ID: I20040615000051 |
| Provider Name | Sheenagh M Bodkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548205735 PECOS PAC ID: 3173507597 Enrollment ID: I20040615000224 |
| Provider Name | Niharika D Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558394833 PECOS PAC ID: 3274511001 Enrollment ID: I20040709000008 |
| Provider Name | Sharon L Vessella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235158437 PECOS PAC ID: 9739144510 Enrollment ID: I20041122000046 |
| Provider Name | Elizabeth E Flynn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841220613 PECOS PAC ID: 3870545171 Enrollment ID: I20050215000662 |
| Provider Name | Ghada R Bourjeily |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881613057 PECOS PAC ID: 3577517671 Enrollment ID: I20050311000142 |
| Provider Name | Carla F Ibelle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760580864 PECOS PAC ID: 3577513779 Enrollment ID: I20050331000680 |
| Provider Name | Christina A Bandera |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1578506820 PECOS PAC ID: 4981650231 Enrollment ID: I20050405000173 |
| Provider Name | Kathy A Rebeiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073539813 PECOS PAC ID: 0143249144 Enrollment ID: I20051118000642 |
| Provider Name | Christine I Trendell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528195914 PECOS PAC ID: 8820004815 Enrollment ID: I20060228000703 |
| Provider Name | Colleen Kelly |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518995992 PECOS PAC ID: 0143224469 Enrollment ID: I20060829000255 |
| Provider Name | Mary P Artery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275698839 PECOS PAC ID: 4082620513 Enrollment ID: I20070706000304 |
| Provider Name | Courtney Clark Bilodeau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013109891 PECOS PAC ID: 0547358046 Enrollment ID: I20071116000488 |
| Provider Name | Teri B Pearlstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538185343 PECOS PAC ID: 9830270560 Enrollment ID: I20080118000365 |
| Provider Name | Kerri L Batra |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295714806 PECOS PAC ID: 1355428624 Enrollment ID: I20080410000561 |
| Provider Name | Margaret A Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134145097 PECOS PAC ID: 8921166729 Enrollment ID: I20081023000232 |
| Provider Name | Leslie Aileen Roth |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1386764785 PECOS PAC ID: 9739248584 Enrollment ID: I20081107000369 |
| Provider Name | Adrienne J Perry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336169333 PECOS PAC ID: 6002977410 Enrollment ID: I20081203000868 |
| Provider Name | Tanya Booker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407054679 PECOS PAC ID: 5799841029 Enrollment ID: I20090311000361 |
| Provider Name | Tina Sheff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801811260 PECOS PAC ID: 2466583927 Enrollment ID: I20100627000015 |
| Provider Name | Erica J Hardy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558390914 PECOS PAC ID: 1052480662 Enrollment ID: I20100805000217 |
| Provider Name | Lucia E Larson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487687984 PECOS PAC ID: 3375723331 Enrollment ID: I20110208000556 |
| Provider Name | Sarah Fox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750311528 PECOS PAC ID: 3173703048 Enrollment ID: I20110209000794 |
| Provider Name | Rebecca E Soinski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043472749 PECOS PAC ID: 0345418893 Enrollment ID: I20110727000634 |
| Provider Name | Amanda B Pressman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124059696 PECOS PAC ID: 1052314374 Enrollment ID: I20110810000297 |
| Provider Name | Maureen M Morrow |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992718233 PECOS PAC ID: 9537060751 Enrollment ID: I20110928000097 |
| Provider Name | Melanie A Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033493945 PECOS PAC ID: 9032378039 Enrollment ID: I20120312000205 |
| Provider Name | Marshall Carpenter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730144353 PECOS PAC ID: 6002856366 Enrollment ID: I20120324000028 |
| Provider Name | Carmen Monzon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902839285 PECOS PAC ID: 1456513530 Enrollment ID: I20120507000743 |
| Provider Name | Julie M Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730228586 PECOS PAC ID: 2860645934 Enrollment ID: I20130124000031 |
| Provider Name | Greg Salgueiro |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942569751 PECOS PAC ID: 6608021076 Enrollment ID: I20130311000209 |
| Provider Name | Chanika Phornphutkul |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639124530 PECOS PAC ID: 2668486754 Enrollment ID: I20130403000436 |
| Provider Name | Katie Anne Lester |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962745208 PECOS PAC ID: 6800035080 Enrollment ID: I20130619000318 |
| Provider Name | Erika F Werner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194938670 PECOS PAC ID: 4880753268 Enrollment ID: I20131105001307 |
| Provider Name | Audrey M Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346686102 PECOS PAC ID: 4183853393 Enrollment ID: I20140211001457 |
| Provider Name | Amy P Pilotte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043315476 PECOS PAC ID: 2264607779 Enrollment ID: I20140728001466 |
| Provider Name | Joanna V Maclean |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568786077 PECOS PAC ID: 1456571140 Enrollment ID: I20140930003104 |
| Provider Name | Jami A Star |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821079856 PECOS PAC ID: 5991797797 Enrollment ID: I20150410001507 |
| Provider Name | Margaret Bublitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982099784 PECOS PAC ID: 3375854235 Enrollment ID: I20150618001091 |
| Provider Name | Sarah Marie Hyder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225230444 PECOS PAC ID: 9739307588 Enrollment ID: I20150625000345 |
| Provider Name | Mariah H Stump |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841550738 PECOS PAC ID: 3476770991 Enrollment ID: I20150630000199 |
| Provider Name | Lindsay Clark-donat |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962633677 PECOS PAC ID: 8325266091 Enrollment ID: I20150827001095 |
| Provider Name | Jennifer L Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003213257 PECOS PAC ID: 6901112473 Enrollment ID: I20150828000361 |
| Provider Name | Alison W Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124046511 PECOS PAC ID: 6204939614 Enrollment ID: I20151007001088 |
| Provider Name | Janice A Santos Cortes |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578705455 PECOS PAC ID: 0648454009 Enrollment ID: I20160331000600 |
| Provider Name | Zilla Huma Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528294154 PECOS PAC ID: 3072825025 Enrollment ID: I20161011001907 |
| Provider Name | Lai-yet Lam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538261029 PECOS PAC ID: 9032371430 Enrollment ID: I20161208000535 |
| Provider Name | Rupal H Thakor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639303258 PECOS PAC ID: 4082865506 Enrollment ID: I20161208001817 |
| Provider Name | Kalin Burkhardt Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629446927 PECOS PAC ID: 8527349836 Enrollment ID: I20161228001877 |
| Provider Name | Neetu Mulchandani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841637535 PECOS PAC ID: 4082831482 Enrollment ID: I20170105001900 |
| Provider Name | Martha B Kole-white |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477993160 PECOS PAC ID: 1153626965 Enrollment ID: I20170525001234 |
| Provider Name | Melissa Russo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205034519 PECOS PAC ID: 4981852811 Enrollment ID: I20170615001533 |
| Provider Name | Nancy Lasson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679572390 PECOS PAC ID: 6103993456 Enrollment ID: I20170824000832 |
| Provider Name | Betsy A Krugliak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275768814 PECOS PAC ID: 9739452970 Enrollment ID: I20170908002692 |
| Provider Name | Cara A O Connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407371453 PECOS PAC ID: 4880968973 Enrollment ID: I20170928001900 |
| Provider Name | Christina Bortz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972997138 PECOS PAC ID: 0446508295 Enrollment ID: I20180809006201 |
| Provider Name | Tarra Evans |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1447570122 PECOS PAC ID: 9234403866 Enrollment ID: I20180924001665 |
| Provider Name | Erin Colleen Murphy Bernardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962981357 PECOS PAC ID: 0345591491 Enrollment ID: I20180928001203 |
| Provider Name | Chrystal Vergara-lopez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932676806 PECOS PAC ID: 9133465826 Enrollment ID: I20190117001181 |
| Provider Name | Alyssa Lynne Norris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609431444 PECOS PAC ID: 0941533558 Enrollment ID: I20190613003081 |
| Provider Name | Leah R Battista |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063560969 PECOS PAC ID: 1052329232 Enrollment ID: I20190702001699 |
| Provider Name | Meghan Sharp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841784485 PECOS PAC ID: 5991137192 Enrollment ID: I20191108001034 |
| Provider Name | Alexis C Gimovsky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740422401 PECOS PAC ID: 1658503750 Enrollment ID: I20200303002666 |
| Provider Name | Von Marie Rodriguez-guzman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831505163 PECOS PAC ID: 2668895707 Enrollment ID: I20200708003098 |
| Provider Name | Leanna Olitsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679069652 PECOS PAC ID: 2466863980 Enrollment ID: I20201204000060 |
| Provider Name | Nkenna Odom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972098465 PECOS PAC ID: 1153723119 Enrollment ID: I20210713002742 |
| Provider Name | Laura Grace Ward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841553724 PECOS PAC ID: 6002210135 Enrollment ID: I20210811001268 |
| Provider Name | Victoria Elena Quinones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316527468 PECOS PAC ID: 8224436480 Enrollment ID: I20211001002886 |
| Provider Name | Bethany Rallis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538837950 PECOS PAC ID: 5395137855 Enrollment ID: I20220113002428 |
| Provider Name | Kristen Foskett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275902736 PECOS PAC ID: 1355647819 Enrollment ID: I20220131000838 |
| Provider Name | Amelia Vera Tajik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801454491 PECOS PAC ID: 4486033271 Enrollment ID: I20220624001900 |
| Provider Name | Denise Labelle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760859524 PECOS PAC ID: 6305195041 Enrollment ID: I20220728001767 |
| Provider Name | Rachel Johanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215136817 PECOS PAC ID: 7618006198 Enrollment ID: I20220801001294 |
| Provider Name | Daryl Selen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699122010 PECOS PAC ID: 5698060929 Enrollment ID: I20220802002456 |
| Provider Name | Dylan Hershkowitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922538644 PECOS PAC ID: 3577836600 Enrollment ID: I20220804001594 |
| Provider Name | Amanda S. Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619590726 PECOS PAC ID: 9537588827 Enrollment ID: I20221104000323 |
| Provider Name | Micheline Ruth Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861187676 PECOS PAC ID: 6709246549 Enrollment ID: I20230712002251 |
| Provider Name | Sharon Young Gu Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598290025 PECOS PAC ID: 7012362965 Enrollment ID: I20231012000702 |
| Provider Name | Courtnie Beaubian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982058350 PECOS PAC ID: 7416303391 Enrollment ID: I20231030000468 |
Kevin E. Baill Md & Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Blackstone Blvd, Providence, RI 02906 Phone: 917-447-2138 | |
Ocean State Urgent Care At St Joseph Health Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Peace St, Providence, RI 02907 Phone: 301-314-3999 Fax: 401-808-6294 | |
Theodore C. Palumbo, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 Staniford St, Providence, RI 02905 Phone: 401-421-8800 Fax: 401-273-6510 | |
The Providence Community Health Centers, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 145 Beaufort St, Providence, RI 02908 Phone: 888-612-7242 Fax: 401-444-0421 | |
Concentra Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 290 Branch Ave, Providence, RI 02904 Phone: 401-722-8880 Fax: 401-723-9320 | |
Barrington Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 381 Wickenden St, Providence, RI 02903 Phone: 401-433-7550 Fax: 401-490-0905 | |
Hallworth House Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Benefit St, Providence, RI 02904 Phone: 401-274-4505 |