JAN CASIMIR GROBLEWSKI (NPI# 1467611962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467611962 |
| Entity Type | Individual |
| Full Name | JAN CASIMIR GROBLEWSKI |
| Credential | MD |
| Practice Address |
118 Dudley St Providence RI 02905-2403 |
| Practice Telephone | 4012742300 |
| Mailing Telephone | 4012742300 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2014-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
MD037214 | DC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | JG76274 | 05 |
| Street Address |
118 DUDLEY ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-2403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851385652 | Ritu Goel | Otolaryngology | 118 Dudley St, Providence, RI 02865 | 2005-09-07 |
| 1134659238 | Phyllis Jaime Dolcy | Physician Assistant | 118 Dudley St, Providence, RI 02905-2403 | 2017-06-13 |
| 1639527427 | Linette Perry | Audiologist | 118 Dudley St, Providence, RI 02905-2403 | 2016-06-02 |
| 1477936078 | Ritu Goel, Md, Ent, PC | Otolaryngology | 118 Dudley St, Providence, RI 02865 | 2015-07-01 |
| 1316210545 | Peter Richard Mello | Physician Assistant | 118 Dudley St, Providence, RI 02905-2403 | 2012-02-19 |
| 1366692568 | Steven J Giguere | Audiologist | 118 Dudley St, Providence, RI 02905-2403 | 2008-09-24 |
| 1891966800 | Carol Simpson | Audiologist | 118 Dudley St, Providence, RI 02905-2403 | 2008-03-18 |
| 1801067806 | Rachel Smith | Audiologist | 118 Dudley St, Providence, RI 02905-2403 | 2008-03-18 |
| 1538330550 | Dola M Conceicao | Audiologist | 118 Dudley St, Providence, RI 02905-2403 | 2008-03-18 |
| 1730379843 | Andrew E Burchard | Otolaryngology | 118 Dudley St, Providence, RI 02905-2403 | 2007-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| Taxonomy Code | 207YP0228X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Pediatric Otolaryngology |
| A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801904958 | Sharon E Gibson | Otolaryngology | 130 Waterman St, Providence, RI 02906-2010 | 2006-08-28 |
| City | PROVIDENCE |
| Zip Code | 02905 |
Please comment or provide details below to improve the information on JAN CASIMIR GROBLEWSKI.
| 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.