CAROL L BAUM-GUPTA (NPI# 1598922809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598922809 |
Entity Type | Individual |
Full Name | CAROL L BAUM-GUPTA |
Practice Address |
555 Prospect Street Pawtucket RI 02860 |
Mailing Address |
111 Brewster Street Wood Bldg #516 Pawtucket RI 02860 |
Practice Telephone | 4017296200 |
Practice Fax Number | 4017296203 |
Enumeration Date | 2008-05-22 |
Last Update Date | 2011-09-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
MD12633 | RI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | CB85575 | 05 | |
RI | MEDICARE PTAN | 002284501 | 01 |
Street Address |
555 PROSPECT STREET |
City | PAWTUCKET |
State | RI |
Zip Code | 02860 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
Find all providers in zip 02860 |
Taxonomy Code | 2080P0006X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Developmental – Behavioral Pediatrics |
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972726495 | Mark Maddox O'brien | Pediatrics | 6 Harrington Rd, Cranston, RI 02920-3080 | 2007-04-11 |
1235439639 | Governor Diagnostic and Treatment Center | Pediatrics | 293 Governor St, Providence, RI 02906-3220 | 2010-11-01 |
1033370606 | Chase B Samsel | Pediatrics | 593 Eddy St, Providence, RI 02903-4923 | 2008-06-17 |
1063683407 | Pei-chi Wu | Pediatrics | 593 Eddy St, Providence, RI 02903-4923 | 2008-03-13 |
1235315284 | Sunshine Pediatrics LLC | Pediatrics | 1 Randall Sq, Suite 404-406, Providence, RI 02904-2709 | 2008-01-20 |
1639210628 | Catherine Labiak-maher | Pediatrics | 625 Main Rd, Tiverton, RI 02878-1351 | 2007-02-11 |
1568545630 | Carrie L Kelly | Pediatrics | 593 Eddy St, Providence, RI 02903-4923 | 2006-10-23 |
1417050055 | Daniel Toby Marwil | Pediatrics | 293 Governor St, Providence, RI 02906 | 2006-09-07 |
1679597637 | Ayesha Cheema | Pediatrics | 593 Eddy St, Providence, RI 02903-4923 | 2006-07-26 |
1861420333 | Rhode Island Hospital | Pediatrics | 593 Eddy St, Providence, RI 02903-4923 | 2006-06-30 |
Find all providers with the same taxonomy |
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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.