MR. JOSEPH DESROSIERS II (NPI# 1447753728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447753728 |
Entity Type | Individual |
Full Name | MR. JOSEPH DESROSIERS II |
Credential | PA-C |
Practice Address |
712 Putnam Pike Unit 2 Chepachet RI 02814-1404 |
Practice Telephone | 4014840424 |
Mailing Telephone | 4017104280 |
Mailing Fax Number | 4017104277 |
Enumeration Date | 2018-03-13 |
Last Update Date | 2020-10-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA01026 | RI | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1524 Atwood Ave Ste 340, Johnston, RI 029193228 | 4012725468 |
Street Address |
712 PUTNAM PIKE UNIT 2 |
City | CHEPACHET |
State | RI |
Zip Code | 02814-1404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174141345 | Stillwater Primary Care Ltd | Clinic/Center | 712 Putnam Pike Unit 2, Chepachet, RI 02814-1404 | 2020-07-14 |
1649760067 | Walter J Hooper IIi | Physician Assistant | 712 Putnam Pike Unit 2, Chepachet, RI 02814-1404 | 2018-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396950762 | Orthodontic Partners Ltd | Dentist | 1109 Putnam Pike, Chepachet, RI 02814 | 2007-05-11 |
1679691513 | Chepachet Fire District | Ambulance | 1170 Putnam Pike, Chepachet, RI 02814 | 2007-03-27 |
1609950831 | Clayton D Lanphear IIi | Family Medicine | 1133 Main St, Chepachet, RI 02814 | 2006-10-24 |
1578652400 | Heritage Podiatry, Inc. | Podiatrist | 5 Money Hill Road, Chepachet, RI 02814 | 2006-10-11 |
1295832186 | Matthew Michael Stone | Chiropractor | 712 Putnam Pike, Unit # 4, Chepachet, RI 02814 | 2006-09-20 |
1730364316 | Glocester Family Chiropractic, Inc | Chiropractor | 712 Putnam Pike, Unit # 4, Chepachet, RI 02814 | 2008-01-02 |
1184731879 | Chepachet Pharmacy, Inc. | Pharmacy | 15 Money Hill Rd, Chepachet, RI 02814-0901 | 2006-08-25 |
1669460028 | West Glocester Fire Tax District | Ambulance | 2410 Putnam Pike, Chepachet, RI 02814-1147 | 2005-10-11 |
1932715356 | Brianna Putnam | Nurse Practitioner | 44 Brandy Brook Rd, Chepachet, RI 02814-1207 | 2020-09-21 |
1750537056 | Heritage Podiatry Inc. | Clinic/Center | 5 Money Hill Rd, Chepachet, RI 02814-1304 | 2008-08-18 |
Find all providers in zip 02814 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285243311 | Sara Lafreniere | Physician Assistant | 18 Millers Brook Dr, Cumberland, RI 02864-6132 | 2020-07-24 |
1962962589 | Delaney Horsley | Physician Assistant | 472 W Fountain St Apt 1, Providence, RI 02903-3570 | 2019-03-20 |
1154807717 | Ocean State Primary, LLC | Physician Assistant | 300 Toll Gate Rd Ste 101b, Warwick, RI 02886-4447 | 2018-07-17 |
1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
1285988790 | Silver Spring Health Care Management, Inc. | Physician Assistant | 70 Kenyon Ave Unit 321, Wakefield, RI 02879 | 2012-11-06 |
1275601056 | Michael Anthony Mcgourty | Physician Assistant | 93 Thames St, Newport, RI 02840-2536 | 2006-12-01 |
1629168901 | Ri Departmenf of Corrections | Physician Assistant | 39 Howard Ave, Cranston, RI 02920-3001 | 2006-10-15 |
1962598516 | Walter Deluca | Physician Assistant | 684 Warren Ave, East Providence, RI 02914-1405 | 2006-10-04 |
1225138597 | Hope Ellen Burns | Physician Assistant | 1145 Main St, Pawtucket, RI 02860-4807 | 2006-09-25 |
1184723520 | Steven A Occhiuti | Physician Assistant | 1 Office Parkway, Suite 201, East Providence, RI 02914 | 2006-09-22 |
Find all providers with the same taxonomy |
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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.