PAWTUXET VALLEY MEDICAL, INC (NPI# 1043431018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043431018 |
| Entity Type | Organization |
| Organization Name | PAWTUXET VALLEY MEDICAL, INC |
| Other Organization Name | PAWTUXET VALLEY URGENT CARE |
| Practice Address |
982 Tiogue Ave Coventry RI 02816-6167 |
| Practice Telephone | 4018216800 |
| Practice Fax Number | 4018218513 |
| Mailing Telephone | 4018216800 |
| Mailing Fax Number | 4018218513 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-02-29 |
| Authorized Official Name | DANIEL F. COLLINS (PRESIDENT) |
| Authorized Official Telephone | 4018216800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 4612 | RI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | MEDICAID DME | 0190006 | 01 |
| Other Name | Type Code |
|---|---|
| Pawtuxet Valley Urgent Care | Doing Business As Name - Organization |
| Street Address |
982 TIOGUE AVE |
| City | COVENTRY |
| State | RI |
| Zip Code | 02816-6167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467478156 | Pawtuxet Valley Medical, Inc. | Family Medicine | 982 Tiogue Ave, Coventry, RI 02816-6167 | 2006-07-14 |
| 1508406216 | Justin A Dufrene | Physical Therapist | 982 Tiogue Ave, Coventry, RI 02816-6116 | 2020-01-10 |
| 1437623410 | Acupuncture and Herbal Medicine, LLC | Clinic/Center | 982 Tiogue Ave, Coventry, RI 02816-6116 | 2019-01-14 |
| 1407371453 | Cara Anne O'connor | Nurse Practitioner | 982 Tiogue Ave, Coventry, RI 02816-6116 | 2017-08-11 |
| 1457725731 | Meaghan Macrae | Nurse Practitioner | 982 Tiogue Ave, Coventry, RI 02816-6116 | 2015-11-24 |
| 1134514276 | Ocean State Primary Care Center of Coventry, LLC | Physician Assistant | 982 Tiogue Ave, Coventry, RI 02816-6116 | 2015-04-06 |
| 1013302488 | Ocean State Urgent Care Center of Coventry, LLC | Clinic/Center | 982 Tiogue Ave, Coventry, RI 02816-6116 | 2015-04-02 |
| 1578899621 | Cari Lin Cuesta | Counselor | 982 Tiogue Ave, Suite 2, Coventry, RI 02816-6116 | 2009-10-26 |
| 1033356787 | Christopher Carlow | Acupuncturist | 982 Tiogue Ave, Coventry, RI 02816-6116 | 2009-01-17 |
| 1336385350 | Steven Raymond Pezzullo | General Practice | 982 Tiogue Ave, Coventry, RI 02816-6167 | 2008-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164912564 | Marissa Smyrski | Physical Therapist | 982 Tiogue Avneue, Suite 202, Coventry, RI 02816 | 2018-05-11 |
| 1952787640 | Hayley Houghton | Occupational Therapy Assistant | 501 Hill St, Coventry, RI 02816 | 2015-08-04 |
| 1255697082 | Eric George, Dmd Ltd. | Dentist | 121 Sandy Bottom Road, Coventry, RI 02816 | 2012-04-05 |
| 1396032595 | Dak Family Medical LLC | Nurse Practitioner | 87 Sandy Bottom Road, Coventry, RI 02816 | 2011-07-08 |
| 1558658963 | Coventry Skilled Nursing and Rehab | Skilled Nursing Facility | 10 Woodland Drive, Coventry, RI 02816 | 2011-07-06 |
| 1124263884 | Coventry Orthodontic LLC | Dentist | 2435 Nooseneck Hill Rd, Coventry, RI 02816 | 2008-12-10 |
| 1326160961 | Alan A. Ali | Physician Assistant | 13th Civil Support Team, 570 Read Schoolhouse Road, Coventry, RI 02816 | 2007-04-04 |
| 1912022179 | Dr Roberta Boatwright Dds Inc | Dentist | 121 Sandy Bottom Rd, Coventry, RI 02816 | 2007-03-20 |
| 1851441083 | Dmitry Z Gelfand | Dentist | 903 Tiogue Avenue, Coventry, RI 02816 | 2007-01-11 |
| 1538220694 | Coventry Imaging Associates LLC | Radiology | 71 Sandy Bottom Road, Coventry, RI 02816 | 2006-12-13 |
| Find all providers in zip 02816 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326371956 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1630 Boston Tpke, Coventry, CT 06238-1205 | 2009-09-15 |
| 1275784456 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 875 Tiogue Ave, Coventry, RI 02816-6300 | 2008-10-06 |
| 1578681581 | Bike-on.com, Inc | Durable Medical Equipment & Medical Supplies | 54 Tiffany Rd, Coventry, RI 02816-4417 | 2007-03-27 |
| 1699874065 | Maxi Drug South Lp | Durable Medical Equipment & Medical Supplies | 719 Tiogue Avenue, Coventry, RI 02816-5803 | 2006-09-22 |
| 1881798718 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3514 Main St, Coventry, CT 06238-1551 | 2006-09-12 |
| 1548287790 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 650 Centre of New England Blvd, Coventry, RI 02816-6081 | 2006-07-16 |
| 1407379290 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 719 Tiogue Ave, Coventry, RI 02816 | 2017-07-24 |
| 1174742894 | Promptcare New England Respiratory, LLC | Durable Medical Equipment & Medical Supplies | 2075 Nooseneck Hill Rd, Coventry, RI 02816-6709 | 2007-04-24 |
| 1346373792 | Pawtuxet Valley Prescription & Surgical Center,inc | Durable Medical Equipment & Medical Supplies | 59 Sandy Bottom Rd, Coventry, RI 02816-5863 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821601972 | Amber Enterprises Inc | Durable Medical Equipment & Medical Supplies | 20 Altieri Way Ste 5&6, Warwick, RI 02886-1780 | 2020-08-28 |
| 1063037059 | Rhode Island Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4255 Quaker Lane, North Kingstown, RI 02852 | 2020-06-15 |
| 1982227682 | Orthopedics Rhode Island, Inc. | Durable Medical Equipment & Medical Supplies | 469 Centerville Rd Ste 105, Warwick, RI 02886-4356 | 2020-05-28 |
| 1912543471 | Option Care Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 49 Freeway Dr Ste A, Cranston, RI 02920-7935 | 2019-11-20 |
| 1154977106 | Pappas Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 1000 Division Road, Suite 100, East Greenwich, RI 02818 | 2019-08-15 |
| 1184270464 | Pappas Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 5805 Post Road, Unit 1, East Greenwich, RI 02818 | 2019-08-13 |
| 1629622634 | Lifespan Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 117 Chapman St Ste 200, Providence, RI 02905-5400 | 2019-07-29 |
| 1245797638 | Orthopedics Rhode Island, Inc | Durable Medical Equipment & Medical Supplies | 41 Sanderson Rd Ste 105, Smithfield, RI 02917-2611 | 2019-02-21 |
| 1528524899 | Reliable Respiratory, Inc. | Durable Medical Equipment & Medical Supplies | 400 Warwick Avenue, Units 3 & 4, Warwick, RI 02888-1316 | 2019-02-12 |
| 1932672110 | Yesshawniecestyles | Durable Medical Equipment & Medical Supplies | 1495 Newport Ave, Pawtucket, RI 02861-1342 | 2019-01-09 |
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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.