EAST SIDE URGENT CARE LLC (NPI# 1558531467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558531467 |
| Entity Type | Organization |
| Organization Name | EAST SIDE URGENT CARE LLC |
| Practice Address |
1195 N Main St Providence RI 02904-1824 |
| Practice Telephone | 4018613782 |
| Mailing Telephone | 4018613782 |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-06-02 |
| Authorized Official Name | JULIE ELIZABETH HETRICK (NURSE MANAGER) |
| Authorized Official Telephone | 4015788836 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Street Address |
1195 N MAIN ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02904-1824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790744381 | Ian Paul Krouson | Physician Assistant | 1195 N Main St, Providence, RI 02904-1824 | 2006-03-22 |
| 1730663287 | Lisa S Bailey | Physician Assistant | 1195 N Main St, Providence, RI 02904-1824 | 2018-09-20 |
| 1700323490 | Sean Bennett Eden | Physician Assistant | 1195 N Main St, Fl 2, Providence, RI 02904-1824 | 2017-01-19 |
| 1558816330 | East Side Primary Care Providence LLC | Internal Medicine | 1195 N Main St, Providence, RI 02904-1824 | 2016-08-22 |
| 1235305871 | Agape Primary Care and Laser Center LLC | Dermatology | 1195 N Main St, Providence, RI 02904-1824 | 2008-05-04 |
| 1952501942 | Jason Charles Xynellis | Physician Assistant | 1195 N Main St, Providence, RI 02904-1824 | 2007-07-19 |
| 1437224763 | Michael Stempek | Physician Assistant | 1195 N Main St, Providence, RI 02904-1824 | 2006-11-21 |
| 1639168198 | Frederick Salvatore Crisafulli | Internal Medicine | 1195 N Main St, Providence, RI 02904-1824 | 2005-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164575338 | Providence Medical Healthcare Center | Clinic/Center | 80 Dean St, Providence, RI 02903-1504 | 2007-01-19 |
| 1780900407 | American Current Care Pa | Clinic/Center | 290 Branch Ave, Providence, RI 02904 | 2010-04-20 |
| 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 |
| 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 |
| 1013302488 | Ocean State Urgent Care Center of Coventry, LLC | Clinic/Center | 982 Tiogue Ave, Coventry, RI 02816-6116 | 2015-04-02 |
| 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 | ||||
| City | PROVIDENCE |
| Zip Code | 02904 |
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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.