PROVIDENCE UROLOGY, LLC


Address: 1165 N Main St, Suite 200, Providence, RI 02904-5740
Phone: 4015214333

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RI 9003351 05

Other Data Sources

Entity Type Entity Name Entity Address
Massachusetts Corporations PROVIDENCE UROLOGY, LLC 1165 No. Main St., Ste 200, Providence, RI 02904

Office Location

Street Address 1165 N MAIN ST
SUITE 200
City PROVIDENCE
State RI
Zip Code 02904-5740

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

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City PROVIDENCE
Zip Code 02904

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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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