LOUIS A FRAGOLA JR MD LTD (NPI# 1497885719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497885719 |
Entity Type | Organization |
Organization Name | LOUIS A FRAGOLA JR MD LTD |
Practice Address |
1525 Wampanoag Trail East Providence RI 02915 |
Practice Telephone | 4014334851 |
Practice Fax Number | 4014333650 |
Mailing Telephone | 4014334851 |
Mailing Fax Number | 4014333650 |
Enumeration Date | 2007-03-06 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. LOUIS A FRAGOLA JR. (PRESIDENT) |
Authorized Official Telephone | 4014334851 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | RI4166 | RI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | BLUE CHIP | 000823 | 01 |
RI | BLUE CROSS | 5292 | 01 |
RI | 9000529 | 05 |
Street Address |
1525 WAMPANOAG TRAIL |
City | EAST PROVIDENCE |
State | RI |
Zip Code | 02915 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215368592 | Ellen Collard | Physical Therapist | 1525 Wampanoag Trail, Suite 205, East Providence, RI 02915-1038 | 2013-12-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881101335 | Brown Medicine | Clinic/Center | 62-68 Amaral Street, East Providence, RI 02915 | 2018-01-05 |
1093245391 | Robyn Lee Cranson | Pharmacist | 1086 Willet Ave, Rite Aid Pharmacy, Riverside, RI 02915 | 2017-06-19 |
1548703622 | Rebecca Leigh Bejma | Registered Nurse | 100 Bullocks Ave, East Providence, RI 02915 | 2016-11-22 |
1568833408 | Riverside Smiles Theodore I Goldberg, Dmd PC & Associates | Dentist | 250 Wampanoag Trail Suite 103, Riverside, RI 02915 | 2015-10-19 |
1003165796 | Sandra Cairo | Registered Nurse | 125 Bayview Ave, Riverside, RI 02915 | 2012-09-10 |
1487916136 | East Bay Community Action Program | Peer Specialist | 100 Bullocks Point, Riverside, RI 02915 | 2012-06-08 |
1497041453 | Bethany Marie Goldberg | Nurse Practitioner | 38 Amaral Street, Riverside, RI 02915 | 2011-06-28 |
1790078947 | Matthew Lynch | Internal Medicine | 375 Wampanoag Trl Ste 302a, Riverside, RI 02915 | 2011-05-20 |
1679866206 | Jill Stone | Occupational Therapist | 57 Euclid Ave, East Providence, RI 02915 | 2011-05-16 |
1770884462 | Kristin F. Cadieux | Nurse Practitioner | 375 Wampanoag Trl Ste 102, Riverside, RI 02915 | 2010-11-11 |
Find all providers in zip 02915 |
Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700270774 | Aaron Mark Drucker | Dermatology | 950 Warren Ave, Suite 301, East Providence, RI 02914-1432 | 2015-03-26 |
1134138951 | David S Farrell | Dermatology | 450 Veterans Memorial Pkwy, Bldg. 11 Unit B, East Providence, RI 02914-5300 | 2006-08-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679054043 | Carlos G Wambier | Dermatology | 65 Village Square Dr Ste 201, South Kingstown, RI 02879-2292 | 2018-08-23 |
1689153454 | Maeve Riane Tobin | Dermatology | 333 School St Ste 112a, Pawtucket, RI 02860-5336 | 2018-08-12 |
1588082200 | Julia O. Baltz | Dermatology | 1672 S County Trl Ste 101, East Greenwich, RI 02818-5099 | 2014-03-31 |
1548685985 | Agape Medical Spa of Warwick, Inc | Dermatology | 49 Seekonk St Unit 3, Providence, RI 02906-5176 | 2014-02-21 |
1124382023 | Scott Hammerman | Dermatology | 50 Maude St Fl 1, Department of Dermatology and Skin Surgery, Providence, RI 02908-4325 | 2012-06-26 |
1356583439 | Caroline Chang | Dermatology | 5586 Post Rd Unit 6, East Greenwich, RI 02818-3454 | 2009-04-03 |
1215086988 | Laura Della Torre | Dermatology | 1539 Atwood Ave Ste 301, Providence, RI 02919-3262 | 2007-01-10 |
1518053271 | Nomate Toate Kpea | Dermatology | 43 Jefferson Boulevard, Suite #2, Warwick, RI 02888 | 2006-10-04 |
1457364382 | Candace S Lapidus | Dermatology | 5 Spinnaker Dr, Barrington, RI 02806-2831 | 2006-08-14 |
1265447049 | Paul T Zaydon,md | Dermatology | 115 Newport Ave, Pawtucket, RI 02861-4107 | 2006-07-30 |
Find all providers with the same taxonomy |
City | EAST PROVIDENCE |
Zip Code | 02915 |
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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.