PROVIDENCE UROLOGY, LLC (NPI# 1255386868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255386868 |
Entity Type | Organization |
Organization Name | PROVIDENCE UROLOGY, LLC |
Practice Address |
1165 N Main St Suite 200 Providence RI 02904-5740 |
Mailing Address |
340 Main St Ste. 670 Worcester MA 01608-1604 |
Practice Telephone | 4015214333 |
Practice Fax Number | 4015214377 |
Mailing Telephone | 5087543566 |
Mailing Fax Number | 5084386368 |
Enumeration Date | 2006-05-23 |
Last Update Date | 2011-12-06 |
Authorized Official Name | HARRY M IANNOTTI (PRESIDENT) |
Authorized Official Telephone | 4015214333 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | 9003351 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Massachusetts Corporations | PROVIDENCE UROLOGY, LLC | 1165 No. Main St., Ste 200, Providence, RI 02904 |
Street Address |
1165 N MAIN ST SUITE 200 |
City | PROVIDENCE |
State | RI |
Zip Code | 02904-5740 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073162202 | Jewish Collaborative Services | Counselor | 1165 N Main St, Providence, RI 02904-5740 | 2019-09-10 |
1508345778 | Tara Marie Watkins | Social Worker | 1165 N Main St, Providence, RI 02904-5740 | 2018-08-08 |
1740609981 | Harold J Wanebo Md LLC | Surgery | 1165 N Main St, 2nd Floor, Providence, RI 02904-5740 | 2014-04-15 |
1790042729 | David L.kitzes,md Inc | Internal Medicine | 1165 N Main St, Suite 200, Providence, RI 02904-5740 | 2012-04-16 |
1588673347 | Jewish Family Services | Durable Medical Equipment & Medical Supplies | 1165 N Main St, Providence, RI 02904-5740 | 2006-08-07 |
1801811260 | Tina Matarazzo Sheff | Social Worker | 1165 N Main St, Providence, RI 02904-5740 | 2006-07-13 |
1154360469 | Harry Michael Iannotti | Urology | 1165 N Main St, Ste. 200, Providence, RI 02904-5740 | 2006-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
Find all providers in zip 02904 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336658145 | Brown Urology, Inc. | Urology | 195 Collyer St Ste 104, Providence, RI 02904-1869 | 2017-09-25 |
1861652349 | Liza M. Aguiar | Urology | 195 Collyer St 201, Providence, RI 02904-1869 | 2008-06-10 |
1841304078 | Dragan J Golijanin | Urology | 2 Dudley St Ste 185, Providence, RI 02905-3247 | 2006-08-17 |
1508483496 | Mohammad Hisham Hout | Urology | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-26 |
1235752478 | Faizanahmed I Munshi | Urology | 593 Eddy St, Providence, RI 02903-4923 | 2020-05-22 |
1225650286 | Sreeya Sai Komaravolu | Urology | 593 Eddy St, Providence, RI 02903-4923 | 2020-05-13 |
1154988004 | Kathleen Chace | Urology | Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903 | 2019-05-28 |
1538620760 | Sarah Anne Moore | Urology | 593 Eddy St, Providence, RI 02903 | 2019-03-29 |
1720570872 | Rachel Morgan Greenberg | Urology | 593 Eddy St, Providence, RI 02903-4923 | 2018-06-05 |
1881011872 | David Watson Sobel | Urology | 195 Collyer St Ste 201, Providence, RI 02904-1869 | 2014-03-27 |
Find all providers in PROVIDENCE |
City | PROVIDENCE |
Zip Code | 02904 |
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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.