ARA-EAST PROVIDENCE DIALYSIS LLC (NPI# 1194837773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194837773 |
| Entity Type | Organization |
| Organization Name | ARA-EAST PROVIDENCE DIALYSIS LLC |
| Other Organization Name | DIALYSIS CENTER OF EAST PROVIDENCE |
| Practice Address |
318 Waterman Ave East Providence RI 02914-3525 |
| Practice Telephone | 4014355200 |
| Practice Fax Number | 4014355995 |
| Mailing Telephone | 4014355200 |
| Mailing Fax Number | 4014355995 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-03-17 |
| Authorized Official Name | SHARI K COUSINS (SR. VP OF CLINICAL & REGULATORY) |
| Authorized Official Telephone | 9789223080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | EP53519 | 05 |
| Other Name | Type Code |
|---|---|
| Dialysis Center of East Providence | Doing Business As Name - Organization |
| Street Address |
318 WATERMAN AVE |
| City | EAST PROVIDENCE |
| State | RI |
| Zip Code | 02914-3525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528052677 | Michael J Monsour | Internal Medicine | 318 Waterman Ave, East Providence, RI 02914-3525 | 2005-09-06 |
| 1770998338 | Manini Vishwanath | Internal Medicine | 318 Waterman Ave, East Providence, RI 02914 | 2014-06-23 |
| 1598188088 | Dana Lyn Sarubbi | Dietitian, Registered | 318 Waterman Ave, East Providence, RI 02914-3525 | 2014-02-04 |
| 1083843155 | Prerna Ganjoo | Internal Medicine | 318 Waterman Ave, East Providence, RI 02914-3525 | 2009-07-09 |
| 1124225594 | Mordecai Jeremiah Stolk | Internal Medicine | 318 Waterman Ave, East Providence, RI 02914-3525 | 2007-06-29 |
| 1184826059 | Lisa Ann Cabral | Dietitian, Registered | 318 Waterman Ave, East Providence, RI 02914-3525 | 2007-06-04 |
| 1770797821 | Ara-rhode Island Dialysis II LLC | Clinic/Center | 318 Waterman Ave, East Providence, RI 02914-3525 | 2007-05-09 |
| 1134192206 | Daniel Lee Dragomire | Internal Medicine | 318 Waterman Ave, East Providence, RI 02914-3525 | 2006-02-09 |
| 1235113358 | George Lee | Internal Medicine | 318 Waterman Ave, East Providence, RI 02914 | 2005-12-01 |
| 1962485490 | Steven B Zipin | Internal Medicine | 318 Waterman Ave, East Providence, RI 02914 | 2005-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457988198 | Sean C. Duffy | Massage Therapist | 231 Warren Ave., East Providence, RI 02914 | 2020-03-24 |
| 1457905606 | Jeanine Le-kreuzer, Lmhc | Clinic/Center | 3421 Pawtucket Ave, East Providence, RI 02914 | 2019-07-26 |
| 1881113983 | Megan Grace Fitzpatrick | Student in an Organized Health Care Education/Training Program | 51 Milburn Rd, East Providence, RI 02914 | 2017-09-11 |
| 1265719660 | Hilary Elise Bicknell | Physical Therapist | 927 B Warren Ave, East Providence, RI 02914 | 2011-11-14 |
| 1346549037 | Amanda M Hope | Occupational Therapist | 2680 Pawtucket Ave, East Providence, RI 02914 | 2011-03-21 |
| 1780993824 | Shannon Hayes | Physical Therapist | 400 Massaoit Ave, East Providence, RI 02914 | 2010-10-06 |
| 1053623538 | Ricardo Rafael Correa Marquez | Internal Medicine | 900 Warren Avenue, Suite 300, East Providence, RI 02914 | 2010-07-13 |
| 1013231570 | Michael Seidler | Internal Medicine | 20 Catamore Blvd., East Providence, RI 02914 | 2010-03-26 |
| 1053543405 | Ray Rezania | Dentist | 1055 South Broadway, East Providence, RI 02914 | 2009-08-19 |
| 1144464587 | John F Maynard | Urology | Metacomet Office Park, 450 Veterans Parkway, East Providence, RI 02914 | 2009-04-29 |
| Find all providers in zip 02914 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760438329 | Dsi Renal Inc | Clinic/Center | 40 Hemingway Dr, East Providence, RI 02915-2224 | 2006-05-25 |
| 1578817136 | Rhode Island Hospital | Clinic/Center | 950 Warren Ave, East Providence, RI 02914-1414 | 2012-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083848980 | Rhode Island Hospital | Clinic/Center | 22 Baker Street, Providence, RI 02905-5443 | 2009-05-06 |
| 1285745570 | Ara-tiverton Dialysis LLC | Clinic/Center | 22 Hurst Ln, Tiverton, RI 02878-2312 | 2006-08-31 |
| 1376654921 | Ara-providence Dialysis LLC | Clinic/Center | 9 Plenty St, Providence, RI 02907-1418 | 2006-08-31 |
| 1942312525 | Ara-cranston Dialysis LLC | Clinic/Center | 49 Freeway Dr, Cranston, RI 02920-7935 | 2006-08-31 |
| 1992715817 | Ara-pawtucket Dialysis LLC | Clinic/Center | 201 Armistice Blvd, Pawtucket, RI 02860-3242 | 2006-08-09 |
| 1215946272 | Nna of Rhode Island, Inc. | Clinic/Center | 79 Division St, Pawtucket, RI 02860-5327 | 2006-08-07 |
| 1639188345 | Everest Healthcare Rhode Island, Inc. | Clinic/Center | 2814 Post Rd, Warwick, RI 02886-3169 | 2006-08-05 |
| 1710996426 | Nna of Rhode Island Inc | Clinic/Center | 125 Corliss St, Providence, RI 02904-2611 | 2006-08-05 |
| 1073544243 | Dialysis Center of Woonsocket LLC | Clinic/Center | 2100 Diamond Hill Rd, Woonsocket, RI 02895-1544 | 2006-07-06 |
| 1073544706 | Dialysis Center of West Warwick LLC | Clinic/Center | 1775 Bald Hill Rd, Warwick, RI 02886-4231 | 2006-07-05 |
| Find all providers with the same taxonomy | ||||
| City | EAST PROVIDENCE |
| Zip Code | 02914 |
Please comment or provide details below to improve the information on ARA-EAST PROVIDENCE DIALYSIS LLC.
| 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.