DR. MAGDALENA G KRZYSTOLIK


Address: 1 Randall Sq, Suite 203, Providence, RI 02904-2709
Phone: 4014534600

DR. MAGDALENA G KRZYSTOLIK (NPI# 1629074752) 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) 1629074752
Entity Type Individual
Full Name DR. MAGDALENA G KRZYSTOLIK
Credential MD
Practice Address 1 Randall Sq
Suite 203
Providence
RI 02904-2709
Practice Telephone 4014534600
Practice Fax Number 4014530077
Mailing Telephone 4014534600
Mailing Fax Number 4014530077
Enumeration Date 2005-06-23
Last Update Date 2019-08-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207W00000X Ophthalmology 153331 MA Allopathic & Osteopathic Physicians
Y 207W00000X Ophthalmology MD10368 RI Allopathic & Osteopathic Physicians

Office Location

Street Address 1 RANDALL SQ
SUITE 203
City PROVIDENCE
State RI
Zip Code 02904-2709

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366051849 Caroline S. Murray Nurse Practitioner 1 Randall Sq, Providence, RI 02904-2709 2020-07-30
1134744659 Briana J. Bartone Nurse Practitioner 1 Randall Sq, Providence, RI 02904-2709 2020-06-10
1639717408 Kaleena Crooks Registered Nurse 1 Randall Sq, Providence, RI 02904-2709 2019-12-12
1922657907 Catherine Putko Nurse Practitioner 1 Randall Sq, Providence, RI 02904-2709 2019-09-11
1003383795 Phina A Mayu Nurse Practitioner 1 Randall Sq, Providence, RI 02904-2709 2018-10-31
1982185526 Takeysha A Duarte Nurse Practitioner 1 Randall Sq, Providence, RI 02904-2709 2018-08-22
1184104648 Bridget M Andaloro Nurse Practitioner 1 Randall Sq, Providence, RI 02904-2709 2018-08-15
1649788258 Caroline Miringu-ruitha Nurse Practitioner 1 Randall Sq, Providence, RI 02904-2709 2018-01-17
1083138572 The Providence Community Health Centers, Inc Clinic/Center 1 Randall Sq, Providence, RI 02904-2709 2017-07-27
1437507258 Cherie L Davis Counselor 1 Randall Sq, Providence, RI 02904-2709 2016-06-02
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316265259 Melissa Ann Simon Ophthalmology 2 Dudley St Ste 505, Providence, RI 02905-3249 2010-05-16
1023268018 Irene M Lee Md PC Ophthalmology 903 Providence Pl, Apartment 362, Providence, RI 02903-7000 2008-09-25
1548426661 Nicholas Dushku Ophthalmology 338 Choke Cherry Ln, Providence, UT 84332-9513 2008-07-29
1174670806 King Wai To Ophthalmology One Hoppin Street, Suite 202, Providence, RI 02903-4141 2007-01-04
1659310738 Andrew Ginn Bong Young Ophthalmology 1 Hoppin St Ste 202, Providence, RI 02903-4141 2006-06-05
1710950142 Philip R Rizzuto Ophthalmology 120 Dudly St, Suite 301, Providence, RI 02905 2006-02-08
1972589745 Robert Jeffrey Hofmann Ophthalmology 150 East Manning St., Providence, RI 02906 2005-12-22
1033109111 Jason Edward Karo Ophthalmology 150 E Manning St, Providence, RI 02906-5109 2005-10-28
1538154703 Yoash R Enzer Ophthalmology 120 Dudley St, Suite 104, Providence, RI 02905-2436 2005-09-14
1467458331 Paul B Greenberg Ophthalmology One Randall Square, Suite 203, Providence, RI 02904-4928 2005-06-24
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City PROVIDENCE
Zip Code 02904

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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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