WELLNORTH MEDICAL LLC (NPI# 1568667848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568667848 |
Entity Type | Organization |
Organization Name | WELLNORTH MEDICAL LLC |
Practice Address |
1630 Mineral Spring Ave 2 North Providence RI 02904-4025 |
Mailing Address |
1630 Mineral Spring Ave 2 North Providence RI 02904-4043 |
Practice Telephone | 4014381010 |
Mailing Telephone | 4014381010 |
Enumeration Date | 2007-06-18 |
Last Update Date | 2015-12-16 |
Authorized Official Name | JAVID CALCATTI (DIRECTOR) |
Authorized Official Telephone | 4014381010 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | BLUE CHIP | CP408256 | 01 |
Street Address |
1630 MINERAL SPRING AVE 2 |
City | NORTH PROVIDENCE |
State | RI |
Zip Code | 02904-4025 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285134452 | Roshani Shrestha | Nurse Practitioner | 1630 Mineral Spring Ave, North Providence, RI 02904-4043 | 2018-02-14 |
1013468164 | Alison Poirier | Dietitian, Registered | 1630 Mineral Spring Ave, North Providence, RI 02904 | 2016-10-24 |
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 | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700420106 | Alexa S Gladstone | Clinic/Center | 333 School St # 112, Pawtucket, RI 02860-5334 | 2019-10-30 |
1437432689 | Concentra Primary Care Pa | Clinic/Center | 2140 Mendon Road, Suite 101a, Cumberland, RI 02864 | 2011-09-23 |
1235275207 | Summit Medical Group | Clinic/Center | 100 Highland Ave Ste 307, Providence, RI 02906-2753 | 2007-01-29 |
1174141345 | Stillwater Primary Care Ltd | Clinic/Center | 712 Putnam Pike Unit 2, Chepachet, RI 02814-1404 | 2020-07-14 |
1356965859 | Berghelli Internal Medicine, LLC | Clinic/Center | 2358 S County Trl, East Greenwich, RI 02818-1583 | 2020-06-01 |
1063984813 | Osh - Ri Physicians Group, PC | Clinic/Center | 300 Quaker Ln # C2-4, Warwick, RI 02886-0159 | 2018-12-18 |
1407222789 | Direct Doctors, Inc. | Clinic/Center | 320 Phillips St Ste 203, North Kingstown, RI 02852-5149 | 2015-08-20 |
1386041507 | Family Doctor Plus Ri LLC | Clinic/Center | 553 Kingstown Rd, Wakefield, RI 02879-3600 | 2014-12-03 |
1255606844 | Concentra Primary Care Pa | Clinic/Center | 400 Bald Hill Rd, Suite 511, Warwick, RI 02886-1617 | 2012-03-14 |
1548538473 | Primary Care Partners | Clinic/Center | 2756 Post Rd, Warwick, RI 02886-3003 | 2011-12-07 |
Find all providers with the same taxonomy |
City | NORTH PROVIDENCE |
Zip Code | 02904 |
Please comment or provide details below to improve the information on WELLNORTH MEDICAL LLC.
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.