DANIEL DUSTIN


Address: 593 Eddy St, Providence, RI 02903-4923
Phone: 4014448410

DANIEL DUSTIN (NPI# 1093246399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093246399
Entity Type Individual
Full Name DANIEL DUSTIN
Credential DO
Practice Address 593 Eddy St
Providence
RI 02903-4923
Practice Telephone 4014448410
Practice Fax Number 4014445914
Mailing Telephone 4014448410
Mailing Fax Number 4014445914
Enumeration Date 2017-03-27
Last Update Date 2020-05-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
LP04880 RI Allopathic & Osteopathic Physicians
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
LP04880 RI Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 Medical Center Dr, Dartmouth Hitchcock Medical Center, Lebanon, NH 037561000 6036505748

Office Location

Street Address 593 EDDY ST
City PROVIDENCE
State RI
Zip Code 02903-4923

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952306185 Mitchel A Sklar Internal Medicine 593 Eddy St, Providence, RI 02903-4923 2005-06-15
1376140707 Kristen Marie Czekanski Student in an Organized Health Care Education/Training Program 593 Eddy St, Providence, RI 02903-4923 2020-10-08
1326645300 Elizabeth Stefanilo Nurse Practitioner 593 Eddy St, Providence, RI 02903-4923 2020-10-03
1841807633 Julie Walden Student in an Organized Health Care Education/Training Program 593 Eddy St, Providence, RI 02903-4923 2020-09-26
1417567751 Yigit Baykara Pathology 593 Eddy St, Providence, RI 02903-4923 2020-08-02
1588273064 Cassandra Pagnotta Dietitian, Registered 593 Eddy St, Providence, RI 02903-4923 2020-07-30
1982213294 Sabitha Sasidharan Pillai Pediatrics 593 Eddy St, Providence, RI 02903-4923 2020-07-23
1861019481 Courtney Pedersen Emergency Medicine 593 Eddy St, Providence, RI 02903-4923 2020-06-30
1508483496 Mohammad Hisham Hout Urology 593 Eddy St, Providence, RI 02903-4923 2020-06-26
1639796642 Benjamin Hagan Emergency Medicine 593 Eddy St, Providence, RI 02903-4923 2020-06-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475755 Sarah Fellows Student in an Organized Health Care Education/Training Program 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 2020-10-20
1093328262 Esther Robbins Social Worker 290 West Exchange St., Suite 100, Providence, RI 02903 2020-08-27
1720619489 Ivy Marie Mcdonald Behavioral Analyst 290 W Exchange St #101, Providence, RI 02903 2020-01-31
1447802707 Natalie Monaghan, LLC Social Worker 545 South Water Street, Providence, RI 02903 2019-07-16
1760049522 Daniel Steven Alanko Pediatrics 293 Eddy Street, Providence, RI 02903 2019-05-28
1154894368 Margaret Emily Dyson Behavior Technician 290 W. Exchange St, Providence, RI 02903 2019-01-10
1497235014 Yao Zhou Liu Surgery 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 2018-08-14
1558840645 Tamara Gore Behavior Technician 290 W Exchange Street Suite 101, Providence, RI 02903 2018-08-09
1437642709 Adrian Cotarelo Student in an Organized Health Care Education/Training Program 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 2018-06-12
1356833024 Natalie Rita Noonan Clinical Neuropsychologist 593 Eddy St Ste 430, Providence, RI 02903 2018-05-30
Find all providers in zip 02903

Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366896912 Michael Simon Internal Medicine 593 Eddy St, Providence, RI 02903-4923 2016-04-20
1811257850 James Ferguson Internal Medicine 593 Eddy St, Apc7, Providence, RI 02903-4923 2012-05-24
1710244157 Roger Williams Medical Center Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2012-04-23
1801160668 Samia Ayub Internal Medicine 164 Summit Ave, Providence, RI 02906-2853 2012-02-26
1154524643 Rabih El-bizri Internal Medicine 50 Maude St, Providence, RI 02908-4325 2007-06-11
1124244587 Deepak Ravindra Pradhan Internal Medicine 164 Summit Ave., Providence, RI 02906 2007-04-17
1689718090 Matthew Dmitri Jankowich Internal Medicine 830 Chalkstone Ave, Providence, RI 02908-4734 2007-02-18
1881613057 Ghada Bourjeily Internal Medicine 146 West River Street, 3rd Floor, Providence, RI 02904 2006-07-19
1982639209 Linda Nici Internal Medicine 830 Chalkstone Ave, Providence, RI 02908-4734 2006-07-12
1972556066 Joseph Vincent Meharg Internal Medicine 50 Maude St, Providence, RI 02908-4325 2006-05-18
Find all providers in PROVIDENCE

Competitor

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City PROVIDENCE
Zip Code 02903

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Dataset Information

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.

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