GRACE A. MEDEIROS


Address: 2444 E Main Rd, Portsmouth, RI 02871-4025
Phone: 4016831048

GRACE A. MEDEIROS (NPI# 1598762551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598762551
Entity Type Individual
Full Name GRACE A. MEDEIROS
Credential MD
Practice Address 2444 E Main Rd
Portsmouth
RI 02871-4025
Mailing Address 200 Mill Rd
Suite 180
Fairhaven
MA 02719-5252
Practice Telephone 4016831048
Practice Fax Number 4016831239
Mailing Telephone 4016831048
Mailing Fax Number 4016831239
Enumeration Date 2005-07-06
Last Update Date 2016-02-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
MD 09160 RI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RI 1598762551 05

Office Location

Street Address 2444 E MAIN RD
City PORTSMOUTH
State RI
Zip Code 02871-4025

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386152791 Changing Tides Counseling LLC Counselor 2444 E Main Rd, Portsmouth, RI 02871-4025 2018-01-19
1053765586 Julie Ann Sayre Family Medicine 2444 E Main Rd, Portsmouth, RI 02871-4025 2016-04-21
1104281450 Kristin Dillon Dietitian, Registered 2444 E Main Rd, Portsmouth, RI 02871-4025 2015-12-30
1396133526 Bpoirier Licsw, Inc Social Worker 2444 E Main Rd, Portsmouth, RI 02871-4025 2014-12-22
1417378811 Jennifer Colleen Silva Nurse Practitioner 2444 E Main Rd, Portsmouth, RI 02871-4025 2014-01-02
1104164912 Nancy A Black Consulting LLC Social Worker 2444 E Main Rd, Portsmouth, RI 02871-4025 2013-01-29
1912251091 Susan D Worthen Social Worker 2444 E Main Rd, Portsmouth, RI 02871-4025 2012-10-29
1659646776 East Bay Psychiatry, LLC Psychiatry & Neurology 2444 E Main Rd, Portsmouth, RI 02871-4025 2012-03-22
1093094625 Nutritionally Sound, LLC Clinic/Center 2444 E Main Rd, Portsmouth, RI 02871-4025 2011-08-13
1538456298 Timothy Byon Family Medicine 2444 E Main Rd, Portsmouth, RI 02871-4025 2011-07-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487028783 Jocelyn Arruda Marriage & Family Therapist 275 Mccorrie Lane, Portsmouth, RI 02871 2015-11-24
1841587417 Visiting Nurse Services of Newport and Bristol Counties Clinic/Center 1184 East Main Road, Portsmouth, RI 02871 2011-07-05
1831483148 James Patrick Nolan Pathology 150 Carnegie Harbor Drive, Portsmouth, RI 02871 2011-06-03
1720378623 Thomas Francis Reitano Pharmacist 3034 East Main Rd, Portsmouth, RI 02871 2011-04-12
1063716793 Amber Kaltenstein Psychologist 2820 E Main Rd, Portsmouth, RI 02871 2011-01-10
1760660773 Susan Mandrachia Killebrew Social Worker 107 Clock Tower Square, Portsmouth, RI 02871 2008-02-01
1235348335 East Bay Endoscopy Center LLC Clinic/Center 109 Clock Tower Square, Portsmouth, RI 02871 2007-05-22
1346369147 Todd Matthew Carbone Physical Therapy Assistant 459 Wapping Rd, Portsmouth, RI 02871 2007-03-29
1952436032 Newport County Regional Special Education Local Education Agency (LEA) Elmhurst School, 1 Frank Coelho Drive, Portsmouth, RI 02871 2007-02-22
1437292760 Aquidneck Dental, Inc. Dentist 21 King Charles Drive, Portsmouth, RI 02871 2007-02-15
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962821967 Jody Manners Psychiatry & Neurology 620 John Paul Jones Cir # 2e, Portsmouth, VA 23708 2014-04-08
1225343742 Karen P. Lauze, LLC Psychiatry & Neurology 875 Greenland Rd Suite B4, Portsmouth, NH 03801 2010-08-09
1093998676 Randy Kozel Md Psychiatry & Neurology 112 Clock Tower Sq, Portsmouth, RI 02871-1396 2007-12-06
1619178621 Angela Rackley Psychiatry & Neurology 1711 27th St Ste 103a, Portsmouth, OH 45662-2654 2007-05-29
1043269434 Augusto C Juguilon Psychiatry & Neurology 1711 27th St # 103a, Portsmouth, OH 45662-2654 2006-05-10
1376539098 Patricia A Locuratolo Psychiatry & Neurology 875 Greenland Rd, Suite B4-5, Portsmouth, NH 03801-4164 2005-09-27
1699775486 Randy B Kozel Psychiatry & Neurology 112 Clock Tower Square, Portsmouth, RI 02871-1365 2005-07-22
1396199105 Stephen Nnodim Jr. Psychiatry & Neurology 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2016-04-18
1740675503 Sarah Emily Woodson Smith Psychiatry & Neurology 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2015-03-30
1588088769 Aaron Daley Psychiatry & Neurology 620 John Paul Jones Cir, Portsmouth, VA 23708-2197 2014-02-10
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Competitor

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City PORTSMOUTH
Zip Code 02871

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Dataset Information

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.

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