CONCILIO PEDIATRICS (NPI# 1063629129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063629129 |
| Entity Type | Organization |
| Organization Name | CONCILIO PEDIATRICS |
| Practice Address |
132 Old River Rd Suite 203 Lincoln RI 02865-1161 |
| Practice Telephone | 4013342949 |
| Practice Fax Number | 4013340867 |
| Mailing Telephone | 4013342949 |
| Mailing Fax Number | 4013340867 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. AMALIA CONCILIO (MANAGER) |
| Authorized Official Telephone | 4013342949 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MD08172 | RI | Allopathic & Osteopathic Physicians |
| Street Address |
132 OLD RIVER RD SUITE 203 |
| City | LINCOLN |
| State | RI |
| Zip Code | 02865-1161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396715660 | Karyn Ward | Dentist | 132 Old River Rd, Suite 204, Lincoln, RI 02865-1161 | 2006-01-26 |
| 1942741616 | New England Chiropractic & Sports Health | Chiropractor | 132 Old River Rd, Suite 200, Lincoln, RI 02865-1161 | 2017-03-15 |
| 1073951448 | Northeast Child and Adolescent Psychological Services | Psychologist | 132 Old River Rd, Suite 205, Lincoln, RI 02865-1161 | 2013-06-07 |
| 1003174277 | Deborah E Draper | Occupational Therapist | 132 Old River Rd, Suite 201, Lincoln, RI 02865-1161 | 2012-04-25 |
| 1609108471 | Elizabeth Ashley Molin | Chiropractor | 132 Old River Rd, Suite 200, Lincoln, RI 02865-1161 | 2010-02-04 |
| 1841466364 | Cumberland Pediatrics, Inc. | Pediatrics | 132 Old River Rd, Suite 107, Lincoln, RI 02865-1161 | 2008-05-05 |
| 1386833127 | Arthritis Center of Rhode Island, Inc. | Pediatrics | 132 Old River Rd, Suite B-2, Lincoln, RI 02865-1161 | 2007-10-17 |
| 1801091137 | Drs. Ward and Vaudry | Dentist | 132 Old River Rd, Suite 204, Lincoln, RI 02865-1161 | 2007-06-18 |
| 1790806669 | Lisa M. Carcifero | Social Worker | 132 Old River Rd, Lincoln, RI 02865-1161 | 2007-04-02 |
| 1467578898 | Comprehensive Medical Care Inc. | Internal Medicine | 132 Old River Rd, Suite 108, Lincoln, RI 02865-1161 | 2007-03-21 |
| 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 |
| 1023091949 | Malini C. Gillen | Pediatrics | 1 Commerce St, Pediatrics, Lincoln, RI 02865-1168 | 2005-11-23 |
| 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.