RHODE ISLAND HOSPITAL (NPI# 1477675262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477675262 |
| Entity Type | Organization |
| Organization Name | RHODE ISLAND HOSPITAL |
| Other Organization Name | LIFESPAN CANCER INSTITUTE--LINCOLN INFUSION CENTER |
| Practice Address |
701 George Washington Hwy Ste 100 Lincoln RI 02865 |
| Mailing Address |
117 Ellenfield St Providence RI 02905-4513 |
| Practice Telephone | 8442222881 |
| Practice Fax Number | 4014445256 |
| Mailing Telephone | 4014445640 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2018-12-20 |
| Authorized Official Name | MARY A WAKEFIELD (EXECUTIVE VP & CFO) |
| Authorized Official Telephone | 4014447093 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | HE36048 | 05 |
| Other Name | Type Code |
|---|---|
| Lifespan Cancer Institute--Lincoln Infusion Center | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 593 Eddy St, Providence, RI 029034923 | 4014445640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083848980 | Rhode Island Hospital | Clinic/Center | 22 Baker Street, Providence, RI 02905-5443 | 2009-05-06 |
| 1609953397 | Rhode Island Hospital | General Acute Care Hospital | 1 Hoppin St Ste 200, Providence, RI 02903-4132 | 2006-11-01 |
| 1245607795 | Rhode Island Hospital | Clinic/Center | 407 East Ave, Suite 250, Pawtucket, RI 02860-5290 | 2015-08-31 |
| 1396147575 | Rhode Island Hospital | Obstetrics & Gynecology | 593 Eddy St, Providence, RI 02903-4923 | 2014-09-19 |
| 1104233832 | Rhode Island Hospital | General Acute Care Hospital | 593 Eddy St, Children's Neurodevelopment Center, Providence, RI 02903-4923 | 2014-07-15 |
| 1851729511 | Rhode Island Hospital | Surgery | 2 Dudley St, Suite 180, Providence, RI 02905-3236 | 2013-10-16 |
| 1962844795 | Rhode Island Hospital | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2013-07-22 |
| 1154663383 | Rhode Island Hospital | Podiatrist | 593 Eddy Street, Providence, RI 02914-1414 | 2013-03-26 |
| 1326382763 | Rhode Island Hospital | Clinic/Center | 70 Catamore Blvd, East Providence, RI 02914-1218 | 2012-11-26 |
| 1578817136 | Rhode Island Hospital | Clinic/Center | 950 Warren Ave, East Providence, RI 02914-1414 | 2012-11-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RHODE ISLAND HOSPITAL | 593 Eddy St, Providence, RI 02903-4923 |
| Street Address |
701 GEORGE WASHINGTON HWY STE 100 |
| City | LINCOLN |
| State | RI |
| Zip Code | 02865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346749868 | Ckri Incorporated | In Home Supportive Care | 1525 Old Louisquissett Pike, C201, Lincoln, RI 02865 | 2018-02-10 |
| 1053824805 | Daniel Boulanger | Specialist/Technologist | 1762 Louisquisset Pike, Lincoln, RI 02865 | 2017-11-14 |
| 1013449677 | Daniel Gardner | Physical Therapist | 618 George Washington Hwy, Lincoln, RI 02865 | 2017-03-31 |
| 1801335138 | Lucille Ellen Plasse | Registered Nurse | 19 Old Great Road, Lincoln, RI 02865 | 2017-02-20 |
| 1558752014 | Northern Rhode Island Cognitive Behavioral Therapy Inc | Social Worker | 640 George Washington Hwy Ste 103, Lincoln, RI 02865 | 2015-02-05 |
| 1528313004 | Sandra Faria | Counselor | 1525 Old Louisquisset Pike Ste B104, Lincoln, RI 02865 | 2012-07-19 |
| 1982832671 | Deborah F Katcher-buckley | Nurse Practitioner | 2 Wake Robin Rd Unit 201, Lincoln, RI 02865 | 2009-07-01 |
| 1558541011 | Dawn Marie Maguire | Social Worker | 640 George Washington Hwy Ste, Bdg B, Ste 103, Lincoln, RI 02865 | 2007-11-13 |
| 1083789218 | Thomas Patrick Hines | Pediatrics | 6 Blackstone Valley Place Suite 306b, Lincoln, RI 02865 | 2006-11-22 |
| 1154403970 | Karen Elissa Madras | Pediatrics | 6 Blackstone Valley Place, Suite 306b, Lincoln, RI 02865 | 2006-10-20 |
| Find all providers in zip 02865 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750353447 | Stacey K Knox | Internal Medicine | 201 S 68th Street Pl Ste 200, Lincoln, NE 68510-2496 | 2006-02-06 |
| 1144522780 | Southeast Nebraska Hematology & Oncology Consultants, PC | Internal Medicine | 3901 Pine Lake Rd, Suite 111, Lincoln, NE 68516-5497 | 2010-12-02 |
| 1669636643 | Kailash Mosalpuria | Internal Medicine | 4004 Pioneer Woods Dr, Lincoln, NE 68506 | 2008-07-18 |
| 1093934598 | Eric J. Avery | Internal Medicine | 4004 Pioneer Woods Dr, Lincoln, NE 68506-7548 | 2007-04-24 |
| 1366521502 | Mark R Hutchins | Internal Medicine | 4004 Pioneer Woods Dr, Lincoln, NE 68506-7548 | 2006-11-06 |
| 1265511034 | Madhu V Midathada | Internal Medicine | 4004 Pioneer Woods Dr, Lincoln, NE 68506-7548 | 2006-11-03 |
| 1205915071 | Nebraska Hematology Oncology PC | Internal Medicine | 4004 Pioneer Woods Dr, Lincoln, NE 68506-7548 | 2006-11-03 |
| 1114006988 | Joni A Tilford | Internal Medicine | 201 S 68th Street Pl Ste 200, Lincoln, NE 68510-2496 | 2006-11-03 |
| 1255417580 | Daniel F Moravec Jr. | Internal Medicine | 4004 Pioneer Woods Dr, Lincoln, NE 68506-7548 | 2006-10-30 |
| 1346264546 | Steven G Dunder | Internal Medicine | 201 S 68th Street Pl, Suite 200, Lincoln, NE 68510-2496 | 2006-07-27 |
| Find all providers in LINCOLN | ||||
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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.