HERITAGE MEDICAL ASSOCIATES PC (NPI# 1003982547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003982547 |
Entity Type | Organization |
Organization Name | HERITAGE MEDICAL ASSOCIATES PC |
Practice Address |
131 Beechwood Ave Pawtucket RI 02860-5409 |
Practice Telephone | 4014751999 |
Practice Fax Number | 4014756932 |
Mailing Telephone | 4014751999 |
Mailing Fax Number | 4014756932 |
Enumeration Date | 2006-11-27 |
Last Update Date | 2015-10-13 |
Authorized Official Name | DR. JOHN PETER MISKOVSKY (PRESIDENT) |
Authorized Official Telephone | 4014751999 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
CT 0816 | CT | Podiatric Medicine & Surgery Service Providers |
Y | 207R00000X | Internal Medicine | MD 10350 | RI | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295818169 | Heritage Medical Associates PC | Internal Medicine | 222 22nd Ave N, Nashville, TN 37203-1852 | 2006-10-23 |
1548284060 | Heritage Medical Associates PC | Psychologist | 222 22nd Ave N, Nashville, TN 37203-1852 | 2006-07-27 |
1720042021 | Heritage Medical Associates PC | Clinical Medical Laboratory | 222 22nd Ave N, Nashville, TN 37203-1852 | 2006-04-13 |
Street Address |
131 BEECHWOOD AVE |
City | PAWTUCKET |
State | RI |
Zip Code | 02860-5409 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
Find all providers in zip 02860 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
1104315258 | Pawtucket Primary Care Inc. | Internal Medicine | 333 School St Ste 107, Pawtucket, RI 02860-5335 | 2018-05-04 |
1043635717 | Alton Jules Curran | Internal Medicine | 588 East Ave, Pawtucket, RI 02860 | 2014-03-04 |
1386815892 | Coppola Medical Associates, Ltd. | Internal Medicine | 174 Armistice Blvd Ste C, Pawtucket, RI 02860-3269 | 2008-03-13 |
1215024963 | Omeed Sani | Internal Medicine | Memorial Hospital of Rhode Isand, 111 Brewster Street, Pawtucket, RI 02860-4499 | 2006-10-06 |
1083638282 | Jeffrey Fredric Baron | Internal Medicine | 101 Ferris St, Pawtucket, RI 02861-3454 | 2006-07-27 |
1154363695 | Levis M Guzman | Internal Medicine | 139 Benefit St, Pawtucket, RI 02861 | 2006-06-11 |
1275570921 | Jiaying Wen | Internal Medicine | 174 Armstice Blvd, Coppola Medical Associate, Pawtucket, RI 02860 | 2006-06-01 |
1497743330 | John P Miskovsky | Internal Medicine | 131 Beechwood Avenue, Pawtucket, RI 02860 | 2005-10-13 |
1235125808 | Steven George Mccloy | Internal Medicine | 100 Smithfield Ave, Axiom Occupational Health LLC, Pawtucket, RI 02860-3474 | 2005-09-20 |
Find all providers in PAWTUCKET |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.