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).
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 |
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 |
Street Address |
1 RANDALL SQ SUITE 203 |
City | PROVIDENCE |
State | RI |
Zip Code | 02904-2709 |
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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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 | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
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. |
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 |
Find all providers in PROVIDENCE |
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.