PEDIATRIC ENDOCRINOLOGY OF RHODE ISLAND (NPI# 1073864591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073864591 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ENDOCRINOLOGY OF RHODE ISLAND |
| Practice Address |
105 Sockanosset Cross Road Suite 318 Cranston RI 02920 |
| Mailing Address |
50 Amaral St East Providence RI 02915-2205 |
| Practice Telephone | 4014342058 |
| Practice Fax Number | 4016336854 |
| Mailing Telephone | 4014342058 |
| Mailing Fax Number | 4016336854 |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2014-04-01 |
| Authorized Official Name | REBECCA MCEACHERN (SOLE OWNER/ MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4014198091 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
11312 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | PE91323 | 05 | |
| UNITED HEALTHCARE | 3300486 | 01 |
| Street Address |
105 SOCKANOSSET CROSS ROAD SUITE 318 |
| City | CRANSTON |
| State | RI |
| Zip Code | 02920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730286188 | Elias George Koutros | Dentist | 105 Sockanosset Cross Road, Suite 316, Cranston, RI 02920 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184262198 | Beacon Dental Health Ri, PC | Clinic/Center | Beacon Dental Health Ri, P.C., 1090 New London Avenue, Cranston, RI 02920 | 2019-12-20 |
| 1821642240 | Jaime L Nixon | Dietitian, Registered | 444 Meshanticut Valley Parkway, Apt 37, Cranston, RI 02920 | 2019-07-25 |
| 1164923553 | Codac Inc | Peer Specialist | 3 Regan Ct, Cranston, RI 02920 | 2018-02-22 |
| 1144673096 | Joanne Le | Optometrist | 1400 Oaklawn Ave., Cranston, RI 02920 | 2016-07-15 |
| 1053790733 | Alanna Conley | Speech-Language Pathologist | 45 Sockanosset Cross Rd Ste 100, Cranston, RI 02920 | 2015-05-27 |
| 1114322740 | Nicole Enos | Physical Therapist | 51 Sockanosset Crossroad, Cranston, RI 02920 | 2014-10-24 |
| 1841622313 | Courtney Faiith Oliver | Occupational Therapy Assistant | 150 Midway Road, Suite 173, Cranston, RI 02920 | 2013-08-06 |
| 1386086403 | Sarah Gonzalez | Marriage & Family Therapist | 105 Sockanosset Cross Rd Ste 102, Cranston, RI 02920 | 2013-07-18 |
| 1902246788 | Amanda Lee Zarriello | Physical Medicine & Rehabilitation | 10 Worthington Rd, Cranston, RI 02920 | 2013-06-26 |
| 1962742528 | Yatyee Lee | Counselor | 141 Elmwood Avenue, Cranston, RI 02920 | 2013-02-19 |
| Find all providers in zip 02920 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| 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 |
|---|---|---|---|---|
| 1245466390 | Penny Kadmon,m.d., Inc | Pediatrics | 725 Reservoir Ave, Suite 306, Cranston, RI 02910-4448 | 2009-06-03 |
| 1689628653 | Rebecca Mceachern | Pediatrics | 105 Sockanosset Cross Rd, Suite 318, Cranston, RI 02920-5560 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740589233 | Monica Serrano Gonzalez | Pediatrics | 111 Plain St Fl 3, Providence, RI 02903 | 2011-03-23 |
| 1982213294 | Sabitha Sasidharan Pillai | Pediatrics | 593 Eddy St, Providence, RI 02903-4923 | 2020-07-23 |
| 1386288819 | Emel Erdogan | Pediatrics | 593 Eddy St, Providence, RI 02903-4923 | 2019-10-28 |
| 1538689054 | Avani Ganta | Pediatrics | 593 Eddy St, Providence, RI 02903-4923 | 2017-06-26 |
| 1912249335 | Meghan Elizabeth Fredette | Pediatrics | 593 Eddy St, Providence, RI 02903-4923 | 2013-03-24 |
| 1215197355 | Lisa Michelle Swartz Topor | Pediatrics | 1 Hoppin St, Coro West, Providence, RI 02903-4141 | 2008-06-12 |
| 1386833127 | Arthritis Center of Rhode Island, Inc. | Pediatrics | 132 Old River Rd, Suite B-2, Lincoln, RI 02865-1161 | 2007-10-17 |
| 1760672851 | Bracha K Goldsweig | Pediatrics | 593 Eddy St, Providence, RI 02903-4923 | 2007-07-26 |
| 1962440131 | Philip Gruppuso | Pediatrics | 593 Eddy St, Hasbro 122, Providence, RI 02903-4923 | 2006-06-02 |
| 1548248164 | Jose Bernardo Q. Quintos | Pediatrics | 1 Hoppin St, Coro West Suite 200, Providence, RI 02903-4141 | 2006-01-04 |
| Find all providers with the same taxonomy | ||||
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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.