LANCE M TIBBETTS (NPI# 1306859921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306859921 |
Entity Type | Individual |
Full Name | LANCE M TIBBETTS |
Credential | M.D. |
Practice Address |
825 Chalkstone Ave Roger Williams Medical Center/pathology Dept Providence RI 02908-4728 |
Practice Telephone | 4014562162 |
Practice Fax Number | 4014562131 |
Mailing Telephone | 4014562162 |
Mailing Fax Number | 4014562131 |
Enumeration Date | 2006-08-14 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
MD06138 | RI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | 7002030 | 05 |
Street Address |
825 CHALKSTONE AVE ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT |
City | PROVIDENCE |
State | RI |
Zip Code | 02908-4728 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467459263 | Ritesh Rathore | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2005-07-07 |
1821698903 | Afsana Jahan | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-10-28 |
1861090508 | Anthony Joseph Paoletta | Social Worker | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-10-14 |
1255941720 | Georgio Medawar | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-08-08 |
1265042733 | Jessica Khoury | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-08-08 |
1215547617 | Amy Remillard | Social Worker | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-31 |
1225647738 | Abdallah Mohamed | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-30 |
1467061309 | Catherine Ekladios | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-27 |
1982213948 | Jamal Al Ali | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-27 |
1811506793 | Sadollah Ghasempour Soleymani | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548771900 | Horizon Wellness | Clinic/Center | 1339 Smith St, North Providence, RI 02908 | 2017-10-12 |
1477098069 | Beth Perry | Nurse Practitioner | 830 Chalstone Ave., Providence, RI 02908 | 2017-01-05 |
1659788735 | Brandi Kimble | Podiatrist | 825 Chalkstone Avenue, Providence, RI 02908 | 2014-07-21 |
1912253675 | Roger Williams Medical Center | Long Term Care Hospital | 25 Chalkstone Ave, Providence, RI 02908 | 2012-07-31 |
1669768818 | Elisa Semedo | Physical Therapist | 285 Promenade Street, Providence, RI 02908 | 2011-06-27 |
1255655502 | Caregiver Homes of Rhode Island Inc. | Custodial Care Facility | 235 Promenade Street, Providence, RI 02908 | 2010-03-16 |
1487884987 | Professional Ambulance LLC | Ambulance | 52 River Ave, Providence, RI 02908 | 2009-07-17 |
1609065804 | Stephen W Davis | Family Medicine | 299 Promenade Street, Nhpri, Providence, RI 02908 | 2007-10-24 |
1205053899 | John R Ricci | Dentist | 1252 Smith St, Providence, RI 02908 | 2007-04-18 |
1871718718 | Brett C Auclaire | Nurse Practitioner | 40 Candace Street, Providence, RI 02908 | 2007-04-16 |
Find all providers in zip 02908 |
Taxonomy Code | 207ZP0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic Pathology |
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588032486 | Liz Edmund | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2015-09-09 |
1508249392 | Mara Banks | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2015-06-30 |
1558781260 | Katelyn Dannheim Drew | Pathology | 593 Eddy Street, Apc 12, Providence, RI 02903-4923 | 2014-04-21 |
1790072296 | Calvin E Oyer | Pathology | 101 Dudley St, Providence, RI 02905-2401 | 2011-07-05 |
1952544264 | Ali Amin | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2009-04-16 |
1770756819 | Christopher Pope Elco | Pathology | 593 Eddy Street, Apc 12, Providence, RI 02903 | 2008-04-09 |
1528285467 | Evgeny Yakirevich | Pathology | 593 Eddy St, Department of Pathology Rih Apc 12, Providence, RI 02903-4923 | 2007-04-20 |
1780703173 | Alexander M Chirkov | Pathology | 48 Orms St, Providence, RI 02904-2222 | 2007-03-28 |
1487770129 | University Pathology | Pathology | 825 Chalkstone Ave, Roger Williams Med Ctr, Pathology Dept., Providence, RI 02908-4728 | 2007-03-22 |
1245332642 | Paul Ferbend | Pathology | 825 Chalkstone Ave, Roger Williams Medical Center/pathology Dept., Providence, RI 02908-4728 | 2006-09-05 |
Find all providers in PROVIDENCE |
City | PROVIDENCE |
Zip Code | 02908 |
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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.