PROVIDENCE INTERVENTIONAL ASSOCIATES II LLC (NPI# 1306123476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306123476 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE INTERVENTIONAL ASSOCIATES II LLC |
| Practice Address |
100 Highland Ave Providence RI 02906-2740 |
| Practice Telephone | 4012779729 |
| Practice Fax Number | 4012779730 |
| Mailing Telephone | 4012779729 |
| Mailing Fax Number | 4012779730 |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2020-08-20 |
| Authorized Official Name | DR. JONAH LICHT (OWNER) |
| Authorized Official Telephone | 4012779729 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497220412 | Providence Interventional Associates II LLC | Clinic/Center | 100 Highland Ave Ste 100, Providence, RI 02906-2740 | 2018-10-05 |
| Street Address |
100 HIGHLAND AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-2740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670044 | Elizabeth L Altenhein | Surgery | 100 Highland Ave, Ste 308, Providence, RI 02906-2740 | 2005-06-21 |
| 1902292899 | University Pediatrics Dba Children's Medical Group | Nurse Practitioner | 100 Highland Ave, Suite 201, Providence, RI 02906-2740 | 2015-04-08 |
| 1063817963 | Stephanie Sachs | Massage Therapist | 100 Highland Ave, Suite 102, Providence, RI 02906-2740 | 2014-11-04 |
| 1972916229 | Community Health and Immunization Services | Community Health Worker | 100 Highland Ave, Suite 303, Providence, RI 02906-2753 | 2014-06-04 |
| 1851721740 | Passport Health Holdings LLC | Clinic/Center | 100 Highland Ave, Suite 303, Providence, RI 02906-2753 | 2013-11-14 |
| 1306274584 | Brianna Leigh Boulanger | Massage Therapist | 100 Highland Ave, Suite 102, Providence, RI 02906 | 2013-10-24 |
| 1912207887 | Providence Interventional Associates LLC | Clinic/Center | 100 Highland Ave, Providence, RI 02906-2740 | 2010-10-26 |
| 1942528658 | Margaret M Dyer | Pediatrics | 100 Highland Ave, Providence, RI 02906-2740 | 2010-05-06 |
| 1043447097 | Vorawan Ummaritchot | Internal Medicine | 100 Highland Ave, Suite 203, Providence, RI 02906-2740 | 2009-06-17 |
| 1346442563 | Man Chin Chang | Internal Medicine | 100 Highland Ave, Suite 203, Providence, RI 02906-2740 | 2007-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831662311 | Cache Valley Vein | Radiology | 565 W 465 N Ste 130, Providence, UT 84332-4802 | 2019-01-07 |
| 1134742588 | Sean O'neill | Radiology | 593 Eddy St, Providence, RI 02903-4923 | 2020-05-20 |
| 1497318620 | Jessica Yoon | Radiology | 593 Eddy St, Providence, RI 02903-4923 | 2019-04-14 |
| 1346733102 | Adam Charles Tuomi | Radiology | 593 Eddy St, Providence, RI 02903-4923 | 2018-06-07 |
| 1568880029 | Rylee Olewinski | Radiology | 593 Eddy St, Providence, RI 02903-4923 | 2014-04-02 |
| 1922121185 | Providence Interventional Associates, LLC | Radiology | 100 Highland Ave, Providence, RI 02906-2740 | 2007-04-10 |
| 1285617845 | Brian F Stainken | Radiology | 825 Chalkstone Ave, Roger Williams Medical Center - Imaging Network of Ri, Providence, RI 02908-4728 | 2005-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900286 | Silver Spring Health Care Management, Inc | Radiology | 100 Kenyon Ave, Wakefield, RI 02879-4216 | 2020-07-31 |
| 1407928179 | Endovascular & Interventional Associates Inc | Radiology | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2006-11-15 |
| 1205874930 | Rhode Island Medical Imaging | Radiology | 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 | 2006-06-03 |
| 1295725042 | Michael E Jay | Radiology | 111 Brewster Street, Pawtucket, RI 02860-4474 | 2005-10-24 |
| 1427055987 | Landy Peter Paolella | Radiology | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2005-06-30 |
| 1356348817 | Robert Edward Binek | Radiology | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2005-06-30 |
| City | PROVIDENCE |
| Zip Code | 02906 |
Please comment or provide details below to improve the information on PROVIDENCE INTERVENTIONAL ASSOCIATES II 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.