UNIVERSITY OTOLARYNGOLOGY-HEAD AND NECK SURGERY, INC. (NPI# 1245350958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245350958 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OTOLARYNGOLOGY-HEAD AND NECK SURGERY, INC. |
| Practice Address |
830 Eddy St Providence RI 02905-4810 |
| Mailing Address |
1351 S County Trl Ste 304 E Greenwich RI 02818-5083 |
| Practice Telephone | 4012742300 |
| Practice Fax Number | 4012328057 |
| Mailing Telephone | 4018858484 |
| Mailing Fax Number | 4012328057 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-11-06 |
| Authorized Official Name | JOSEPH RAYMOND MALONEY (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 4018858484 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MD03762 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | U020134 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1351 S County Trl Ste 303, E Greenwich, RI 028185083 | 4018858484 | 4012328057 |
| 116 Main St, Wakefield, RI 028793566 | 4017824400 | 4012328057 |
| Street Address |
830 EDDY ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659489714 | Brian E Duff | Otolaryngology | 830 Eddy St, Providence, RI 02905-4810 | 2006-08-28 |
| 1831613496 | Sorina Loren Sotis | Audiologist | 830 Eddy St, Providence, RI 02905-4810 | 2017-07-26 |
| 1639604549 | Brittany Leigh Algiere | Physician Assistant | 830 Eddy St, Providence, RI 02905-4810 | 2017-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093861049 | Ri Ear Nose & Throat Physicians Inc. | Otolaryngology | 148 W River St Ste 2a, Providence, RI 02904-2615 | 2007-01-25 |
| 1912015025 | Joseph P Bellino | Otolaryngology | 830 Eddy Street, Providence, RI 02905-2403 | 2006-08-28 |
| 1851385652 | Ritu Goel | Otolaryngology | 118 Dudley St, Providence, RI 02865 | 2005-09-07 |
| 1477936078 | Ritu Goel, Md, Ent, PC | Otolaryngology | 118 Dudley St, Providence, RI 02865 | 2015-07-01 |
| 1629481825 | Zachary John Quay-de La Vallee | Otolaryngology | 148 W River St Ste 2a, Providence, RI 02904-2615 | 2014-06-04 |
| 1225323710 | David Samuel Bick | Otolaryngology | 148 W River St, Suite 2a, Providence, RI 02904-2615 | 2011-06-13 |
| 1730379843 | Andrew E Burchard | Otolaryngology | 118 Dudley St, Providence, RI 02905-2403 | 2007-07-26 |
| 1134237274 | Charles M Ruhl | Otolaryngology | 118 Dudley St, Providence, RI 02905-2403 | 2006-08-28 |
| 1144338260 | Peter T Nigri | Otolaryngology | 118 Dudley St, Providence, RI 02905-2403 | 2006-08-28 |
| 1912015033 | Robert G Mcrae | Otolaryngology | 118 Dudley St, Providence, RI 02905-2403 | 2006-08-28 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
Please comment or provide details below to improve the information on UNIVERSITY OTOLARYNGOLOGY-HEAD AND NECK SURGERY, INC..
| 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.