HERITAGE MEDICAL ASSOCIATES PC


Address: 131 Beechwood Ave, Pawtucket, RI 02860-5409
Phone: 4014751999

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).

Provider Overview

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

Taxonomy

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

Other Provider IDs and Locations

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

Office Location

Street Address 131 BEECHWOOD AVE
City PAWTUCKET
State RI
Zip Code 02860-5409

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City PAWTUCKET
Zip Code 02860

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Dataset Information

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.

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