KIMBERLY A DODD (NPI# 1366646820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366646820 |
Entity Type | Individual |
Full Name | KIMBERLY A DODD |
Credential | M.D. |
Practice Address |
150 Chestnut St Ste 4 Providence RI 02903-4649 |
Mailing Address |
111 Brewster Street Pawtucket RI 02860-4400 |
Practice Telephone | 8332290957 |
Mailing Telephone | 4017293469 |
Mailing Fax Number | 4017292541 |
Enumeration Date | 2007-06-11 |
Last Update Date | 2020-04-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MD13173 | RI | Allopathic & Osteopathic Physicians |
N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
232516 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | MEDICARE PTAN | 000137802 | 01 |
RI | KD79114 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
111 Brewster Street, Pawtucket, RI 028604400 | 4017293469 | 4017292541 |
10 Dorrance St Ste 700, Providence, RI 029032014 | 8332290957 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427578947 | Kimberly Michelle Dodd | Nurse Practitioner | 1110 Lakeview Dr, Sugar Land, TX 77478-3378 | 2017-06-26 |
1114467644 | Kimberly Dodd | Nurse Practitioner | 5019 Portico Way, Midland, TX 79707-3102 | 2017-03-02 |
1831440171 | Kimberly Ann Dodd | Marriage & Family Therapist | 12657 Adams Rd, Granger, IN 46530-9641 | 2012-09-26 |
1295044014 | Kimberly Anne Dodd | Occupational Therapist | 210 4th Ave, Grinnell, IA 50112-1898 | 2010-09-28 |
Street Address |
150 CHESTNUT ST STE 4 |
City | PROVIDENCE |
State | RI |
Zip Code | 02903-4649 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
Find all providers in zip 02903 |
Taxonomy Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346760568 | Marilyne Cadieux | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2017-06-20 |
1588001531 | Ramesh Adhikari | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2013-05-31 |
1235576380 | Sylvester Sarfraz | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2013-05-30 |
1194740043 | Josef Nmi Sternberg | Internal Medicine | 830 Chalkstone Ave, Providence, VA 02980 | 2006-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730143025 | James David Burrill | Internal Medicine | 9 Thomas Dr, Lincoln, RI 02865-4914 | 2006-04-13 |
1578547212 | Naomi Y Mcmackin | Internal Medicine | Memorial Hospital of Ri, 111 Brewster Street, Pawtucket, RI 02860-1400 | 2005-12-06 |
1194715060 | Edward W Martin | Internal Medicine | 169 George St, Pawtucket, RI 02860-3853 | 2005-10-24 |
1205822277 | Michael Klufas | Internal Medicine | 525 Broad St, Suite 103, Cumberland, RI 02864-6919 | 2005-09-23 |
1568831162 | Gps Physician Group of Rhode Island PC | Internal Medicine | 10 Woodland Dr, Coventry, RI 02816-6716 | 2015-09-24 |
1376815142 | Erkan Ozturk | Internal Medicine | 407 East Ave, Suite 110, Pawtucket, RI 02860-5290 | 2012-02-08 |
1477843696 | Edward Westrick | Internal Medicine | 300 Quaker Ln # C2-4, Warwick, RI 02886-0159 | 2011-04-08 |
1033415682 | Mriganka Singh | Internal Medicine | 407 East Ave, Suite 110, Pawtucket, RI 02860-5290 | 2011-01-30 |
1851615553 | Julio C Defillo Draiby | Internal Medicine | 375 Wampanoag Trl, Suite 102, Riverside, RI 02915-2212 | 2010-03-24 |
1528394178 | Cumberland Primary Care Inc | Internal Medicine | 2138 Mendon Rd, Suite 101a, Cumberland, RI 02864-3834 | 2009-11-02 |
Find all providers with the same taxonomy |
City | PROVIDENCE |
Zip Code | 02903 |
Please comment or provide details below to improve the information on KIMBERLY A DODD.
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.