MATTHEW BARTOLOTTI (NPI# 1063934958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063934958 |
| Entity Type | Individual |
| Full Name | MATTHEW BARTOLOTTI |
| Credential | PA |
| Practice Address |
39 East Ave Pawtucket RI 02860-4003 |
| Mailing Address |
186 Waterman St Apt 10 Providence RI 02906-4055 |
| Practice Telephone | 4017220081 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA00987 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013063643 | Matthew Joseph Bartolotti | Social Worker | 400 Ne 7th St, Gresham, OR 97030-5604 | 2007-01-26 |
| Street Address |
39 EAST AVE |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386757656 | Cristina Pacheco | Family Medicine | 39 East Ave, Pawtucket, RI 02860-4003 | 2006-08-17 |
| 1942856000 | Vanessa Correia | Nurse Practitioner | 39 East Ave, Pawtucket, RI 02860-4003 | 2019-08-14 |
| 1679129738 | Alex Jacob Weiner | Nurse Practitioner | 39 East Ave, Pawtucket, RI 02860-4003 | 2019-08-14 |
| 1114498995 | Nicole Snapper | Nurse Practitioner | 39 East Ave, Pawtucket, RI 02860-4003 | 2018-12-05 |
| 1497222970 | Joanna Gomes-gibau | Social Worker | 39 East Ave, Pawtucket, RI 02860-4003 | 2018-11-01 |
| 1265911556 | Elana Schwam | Nurse Practitioner | 39 East Ave, Pawtucket, RI 02860-4003 | 2018-08-08 |
| 1023595725 | Daijsia Melena Bubb | Nurse Practitioner | 39 East Ave, Pawtucket, RI 02860 | 2018-07-25 |
| 1760969869 | Alice Omerhi | Nurse Practitioner | 39 East Ave, Pawtucket, RI 02860-4003 | 2018-07-23 |
| 1942796339 | Patricia J Doolin | Nurse Practitioner | 39 East Ave, Pawtucket, RI 02860-4003 | 2018-07-09 |
| 1275064933 | Anne Barylick | Nurse Practitioner | 39 East Ave, Pawtucket, RI 02860-4003 | 2017-03-24 |
| Find all providers in the same location | ||||
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
| 1790056430 | Matthew J Lavoie | Physician Assistant | 70 Gill Ave., Pawtucket Center, Genesis Health Care, Pawtucket, RI 02861 | 2012-01-25 |
| 1578588166 | Maria A Bermudez | Physician Assistant | 42 Park Place, Pawtucket, RI 02860 | 2006-07-13 |
| 1801863337 | Philip Joseph Piette | Physician Assistant | 55 Cameron St, Pawtucket, RI 02861-1713 | 2006-03-03 |
| 1215542360 | Anthony Mattiello | Physician Assistant | 174 Armistice Blvd, Pawtucket, RI 02860-3280 | 2020-09-14 |
| 1265058044 | Katherine Rose Maiorisi | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860-5299 | 2020-06-17 |
| 1083275325 | Emmie Lou Roberts | Physician Assistant | 209 Armistice Blvd, Pawtucket, RI 02860-3242 | 2019-06-26 |
| 1891220927 | Tierney Richardson | Physician Assistant | 174 Armistice Blvd, Pawtucket, RI 02860-3280 | 2017-04-26 |
| 1265972350 | Keith D'alton Shields | Physician Assistant | 174 Armistice Blvd, Room C, Pawtucket, RI 02860-3280 | 2017-03-08 |
| 1801340195 | Ryan Michael Laferte | Physician Assistant | 111 Brewster St, Pawtucket, RI 02860-4474 | 2016-08-04 |
| 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.