MALINI C. GILLEN (NPI# 1023091949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023091949 |
| Entity Type | Individual |
| Full Name | MALINI C. GILLEN |
| Credential | M.D. |
| Practice Address |
1 Commerce St Pediatrics Lincoln RI 02865-1168 |
| Practice Telephone | 4017938484 |
| Practice Fax Number | 4017938481 |
| Mailing Telephone | 4017938484 |
| Mailing Fax Number | 4017938481 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MD10597 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 9023621 | 05 |
| Street Address |
1 COMMERCE ST PEDIATRICS |
| City | LINCOLN |
| State | RI |
| Zip Code | 02865-1168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841296597 | Kathleen M Henderson | Internal Medicine | 1 Commerce St, Internal Medicine, Lincoln, RI 02865-1168 | 2005-06-27 |
| 1760852305 | Deborah A Coutu Cham | Registered Nurse | 1 Commerce St, 2nd Floor, Lincoln, RI 02865-1186 | 2015-09-25 |
| 1952770257 | Laura G Runyan | Physician Assistant | 1 Commerce St, 2nd Floor, Lincoln, RI 02865-1186 | 2015-09-17 |
| 1699068551 | Gail E Audette | Registered Nurse | 1 Commerce St, Internal Medicine, Lincoln, RI 02865-1168 | 2011-05-25 |
| 1386964112 | Joanna J. Schatz | Pediatrics | 1 Commerce St, Suite 100, Lincoln, RI 02865-1186 | 2010-06-03 |
| 1699098467 | Rhode Island Village Pharmacy | Pharmacy | 1 Commerce St, Suite B, Lincoln, RI 02865-1168 | 2010-03-09 |
| 1417123902 | Martha Rose Leonard | Registered Nurse | 1 Commerce St, Pediatrics, Lincoln, RI 02865-1186 | 2008-05-05 |
| 1477607752 | Village Fertility Pharmacy, Inc. | Pharmacy | 1 Commerce St, Lincoln, RI 02865-1168 | 2007-01-23 |
| 1255416475 | Linda Louise Rexford | Pediatrics | 1 Commerce St, Suite 100, Lincoln, RI 02865-1186 | 2006-10-26 |
| 1679560718 | Jacquelyn M Arieta | Nurse Practitioner | 1 Commerce St, Anchor Medical Associates Pediatric Department, Lincoln, RI 02865-1168 | 2005-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346749868 | Ckri Incorporated | In Home Supportive Care | 1525 Old Louisquissett Pike, C201, Lincoln, RI 02865 | 2018-02-10 |
| 1053824805 | Daniel Boulanger | Specialist/Technologist | 1762 Louisquisset Pike, Lincoln, RI 02865 | 2017-11-14 |
| 1013449677 | Daniel Gardner | Physical Therapist | 618 George Washington Hwy, Lincoln, RI 02865 | 2017-03-31 |
| 1801335138 | Lucille Ellen Plasse | Registered Nurse | 19 Old Great Road, Lincoln, RI 02865 | 2017-02-20 |
| 1558752014 | Northern Rhode Island Cognitive Behavioral Therapy Inc | Social Worker | 640 George Washington Hwy Ste 103, Lincoln, RI 02865 | 2015-02-05 |
| 1528313004 | Sandra Faria | Counselor | 1525 Old Louisquisset Pike Ste B104, Lincoln, RI 02865 | 2012-07-19 |
| 1982832671 | Deborah F Katcher-buckley | Nurse Practitioner | 2 Wake Robin Rd Unit 201, Lincoln, RI 02865 | 2009-07-01 |
| 1558541011 | Dawn Marie Maguire | Social Worker | 640 George Washington Hwy Ste, Bdg B, Ste 103, Lincoln, RI 02865 | 2007-11-13 |
| 1477675262 | Rhode Island Hospital | Internal Medicine | 701 George Washington Hwy Ste 100, Lincoln, RI 02865 | 2007-04-04 |
| 1083789218 | Thomas Patrick Hines | Pediatrics | 6 Blackstone Valley Place Suite 306b, Lincoln, RI 02865 | 2006-11-22 |
| Find all providers in zip 02865 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962610493 | Complete Children's Health | Pediatrics | 8201 Northwoods Dr, Lincoln, NE 68505-3092 | 2007-05-18 |
| 1063629129 | Concilio Pediatrics | Pediatrics | 132 Old River Rd, Suite 203, Lincoln, RI 02865-1161 | 2007-05-17 |
| 1700882529 | Nathan B Beraha | Pediatrics | 1 Commerce St, Pediatrics, Lincoln, RI 02865 | 2005-06-27 |
| 1285630947 | Susan L Pakula | Pediatrics | 1 Commerce St, Pediatrics, Lincoln, RI 02865-1168 | 2005-06-27 |
| 1598761264 | Judith Blazar Westrick | Pediatrics | 1 Commerce St, Pediatrics, Lincoln, RI 02865-1168 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639499395 | Jack Rusley | Pediatrics | 1 Hoppin St Ste 305, Providence, RI 02903-4141 | 2010-06-04 |
| 1285857219 | E.p. Mennillo, M.d., Inc | Pediatrics | 994 Reservoir Ave, Cranston, RI 02910-5122 | 2007-04-10 |
| 1790830339 | Santiago Medical Group, Inc. | Pediatrics | 967 Mineral Spring Avenue, North Providence, RI 02904-4934 | 2007-01-24 |
| 1780737296 | We Luv Kids Inc | Pediatrics | 85 Beach St # B, Westerly, RI 02891-2717 | 2007-01-19 |
| 1215015136 | Northern Rhode Island Pediatrics | Pediatrics | 2140 Mendon Rd Ste 201, Cumberland, RI 02864-3833 | 2006-11-01 |
| 1912098336 | Miguel A Fuentes | Pediatrics | 967 Mineral Spring Ave, North Providence, RI 02904-4934 | 2006-09-28 |
| 1639260656 | Robert Arthur Brogan | Pediatrics | 27 Division St, East Greenwich, RI 02818-3872 | 2006-09-27 |
| 1700841616 | Lauren C Noel | Pediatrics | 46 Holley St, Wakefield, RI 02879-3325 | 2006-04-20 |
| 1093776296 | Russell Drew Stokes | Pediatrics | 85 Beach St, Suite B, Westerly, RI 02891-2717 | 2006-03-29 |
| 1497752265 | Alan Robin G. Wallace | Pediatrics | 372 Purgatory Rd, Middletown, RI 02842-5963 | 2005-07-07 |
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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.