PAWTUXET VALLEY MEDICAL, INC. (NPI# 1467478156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467478156 |
| Entity Type | Organization |
| Organization Name | PAWTUXET VALLEY MEDICAL, INC. |
| Other Organization Name | PAWTUXET VALLEY URGENT CARE |
| Practice Address |
982 Tiogue Ave Coventry RI 02816-6167 |
| Practice Telephone | 4018216800 |
| Practice Fax Number | 4018239203 |
| Mailing Telephone | 4018216800 |
| Mailing Fax Number | 4018239203 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2011-03-10 |
| Authorized Official Name | DR. DANIEL F. COLLINS (PRESIDENT) |
| Authorized Official Telephone | 4018216800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BLUE CROSS | 0000000655 | 01 |
| RI | 9000655 | 05 | |
| RI | BLUE CHIP | 001738 | 01 |
| RI | NEIGHBORHOOD HEALTH | 2661 | 01 |
| RI | UNITED HEALTHCARE | 66-00112 | 01 |
| Other Name | Type Code |
|---|---|
| Pawtuxet Valley Urgent Care | Doing Business As Name - Organization |
| Street Address |
982 TIOGUE AVE |
| City | COVENTRY |
| State | RI |
| Zip Code | 02816-6167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406216 | Justin A Dufrene | Physical Therapist | 982 Tiogue Ave, Coventry, RI 02816-6116 | 2020-01-10 |
| 1437623410 | Acupuncture and Herbal Medicine, LLC | Clinic/Center | 982 Tiogue Ave, Coventry, RI 02816-6116 | 2019-01-14 |
| 1407371453 | Cara Anne O'connor | Nurse Practitioner | 982 Tiogue Ave, Coventry, RI 02816-6116 | 2017-08-11 |
| 1457725731 | Meaghan Macrae | Nurse Practitioner | 982 Tiogue Ave, Coventry, RI 02816-6116 | 2015-11-24 |
| 1134514276 | Ocean State Primary Care Center of Coventry, LLC | Physician Assistant | 982 Tiogue Ave, Coventry, RI 02816-6116 | 2015-04-06 |
| 1013302488 | Ocean State Urgent Care Center of Coventry, LLC | Clinic/Center | 982 Tiogue Ave, Coventry, RI 02816-6116 | 2015-04-02 |
| 1578899621 | Cari Lin Cuesta | Counselor | 982 Tiogue Ave, Suite 2, Coventry, RI 02816-6116 | 2009-10-26 |
| 1033356787 | Christopher Carlow | Acupuncturist | 982 Tiogue Ave, Coventry, RI 02816-6116 | 2009-01-17 |
| 1336385350 | Steven Raymond Pezzullo | General Practice | 982 Tiogue Ave, Coventry, RI 02816-6167 | 2008-12-22 |
| 1043431018 | Pawtuxet Valley Medical, Inc | Durable Medical Equipment & Medical Supplies | 982 Tiogue Ave, Coventry, RI 02816-6167 | 2007-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164912564 | Marissa Smyrski | Physical Therapist | 982 Tiogue Avneue, Suite 202, Coventry, RI 02816 | 2018-05-11 |
| 1952787640 | Hayley Houghton | Occupational Therapy Assistant | 501 Hill St, Coventry, RI 02816 | 2015-08-04 |
| 1255697082 | Eric George, Dmd Ltd. | Dentist | 121 Sandy Bottom Road, Coventry, RI 02816 | 2012-04-05 |
| 1396032595 | Dak Family Medical LLC | Nurse Practitioner | 87 Sandy Bottom Road, Coventry, RI 02816 | 2011-07-08 |
| 1558658963 | Coventry Skilled Nursing and Rehab | Skilled Nursing Facility | 10 Woodland Drive, Coventry, RI 02816 | 2011-07-06 |
| 1124263884 | Coventry Orthodontic LLC | Dentist | 2435 Nooseneck Hill Rd, Coventry, RI 02816 | 2008-12-10 |
| 1326160961 | Alan A. Ali | Physician Assistant | 13th Civil Support Team, 570 Read Schoolhouse Road, Coventry, RI 02816 | 2007-04-04 |
| 1912022179 | Dr Roberta Boatwright Dds Inc | Dentist | 121 Sandy Bottom Rd, Coventry, RI 02816 | 2007-03-20 |
| 1851441083 | Dmitry Z Gelfand | Dentist | 903 Tiogue Avenue, Coventry, RI 02816 | 2007-01-11 |
| 1538220694 | Coventry Imaging Associates LLC | Radiology | 71 Sandy Bottom Road, Coventry, RI 02816 | 2006-12-13 |
| Find all providers in zip 02816 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013302488 | Ocean State Urgent Care Center of Coventry, LLC | Clinic/Center | 982 Tiogue Ave, Coventry, RI 02816-6116 | 2015-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306021605 | American Current Care P.a. | Clinic/Center | 2191 Post Road, Suite 3, Warwick, RI 02886 | 2008-01-04 |
| 1053596346 | American Current Care P.a. | Clinic/Center | 203 Concord Street, Suite 301, Pawtucket, RI 02860 | 2008-01-04 |
| 1699896746 | Harbour Medical | Clinic/Center | 1000 Division St, Harbour Medical Suite #70, East Greenwich, RI 02818-2008 | 2007-04-03 |
| 1164575338 | Providence Medical Healthcare Center | Clinic/Center | 80 Dean St, Providence, RI 02903-1504 | 2007-01-19 |
| 1720011018 | Wampanoag Medical Clinic & Treatment Center | Clinic/Center | 1970 Pawtucket Ave, East Providence, RI 02914-1718 | 2006-07-09 |
| 1386610921 | D Halpren Ruder Inc | Clinic/Center | 400 Putnam Pike, Suite E, Smithfield, RI 02917-2408 | 2006-02-24 |
| 1790260974 | Primary Walk-in Medical Urgent Care LLC | Clinic/Center | 684 Warren Ave, East Providence, RI 02914-1405 | 2018-10-03 |
| 1225444243 | Primary Medical Center and Walk-in LLC | Clinic/Center | 684 Warren Ave, East Providence, RI 02914-1405 | 2014-07-10 |
| 1275971400 | Ocean State Urgent Care Center of Cumberland, LLC | Clinic/Center | 2140 Mendon Rd, Cumberland, RI 02864-3843 | 2013-06-10 |
| 1447698675 | Ocean State Urgent Care Center of Smithfield LLC | Clinic/Center | 400 Putnam Pike, Smithfield, RI 02917-2408 | 2013-06-10 |
| 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.