JASON IANNUCCILLI


Address: 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785
Phone: 4014322520

JASON IANNUCCILLI (NPI# 1659599868) 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) 1659599868
Entity Type Individual
Full Name JASON IANNUCCILLI
Credential MD
Practice Address 125 Metro Center Blvd Ste 2000
Warwick
RI 02886-1785
Practice Telephone 4014322520
Mailing Telephone 4014322520
Enumeration Date 2007-04-23
Last Update Date 2019-03-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
MD12595 RI Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
12595 RI Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
A111724 CA Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
LP00021 RI Allopathic & Osteopathic Physicians
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
MD12595 RI Allopathic & Osteopathic Physicians
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
12595 RI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 0A1117240 05
RI J185324 05

Office Location

Street Address 125 METRO CENTER BLVD STE 2000
City WARWICK
State RI
Zip Code 02886-1785

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356344089 Vincent A Decesaris Radiology 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 2005-05-27
1104386895 Vincent Alexandre Physician Assistant 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 2019-03-20
1639625288 Whitney Kristina Vayntrub Physician Assistant 125 Metro Center Blvd Ste 2000, Warwick, RI 02886 2016-09-01
1306390869 Eric Boettjer Physician Assistant 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 2016-08-12
1275949414 Monica L Roca Radiology 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 2014-07-09
1962746552 Jose Graterol Radiology Practitioner Assistant 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 2012-11-20
1699034710 Z Liu Internal Medicine 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1768 2012-05-09
1235404146 Janelle Bosse Physician Assistant 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 2012-03-12
1174818603 Elizabeth H Dibble Radiology 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 2011-06-13
1093021966 Gaurav Jindal Radiology 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 2010-08-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528694445 Sheri Lynn Sklarz Specialist 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 2020-03-23
1316581424 Dr. Degiulio & Associates Inc Optometrist 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 2019-10-31
1255813291 Samantha Pena Moore Behavioral Analyst 3446 Post Road, Warwick, RI 02886 2018-09-06
1912496209 Martin Jude Cotti Internal Medicine 455 Toll Gate Rd., Warwick, RI 02886 2018-05-02
1447764261 Cynthia A Lessard Nurse Practitioner 15 Health Lane, Warwick, RI 02886 2017-12-01
1538687520 David A. Bennett Registered Nurse 2756 Post Road, Warwick, RI 02886 2017-08-30
1427585223 Brittany Teixeira Counselor 85 Earl Street, Warwick, RI 02886 2017-05-11
1497125199 Aiden Philip Cwynar Optometrist 1050 Centerville Road, Warwick, RI 02886 2015-10-07
1104221738 Wilfredo L Sancianco Dmd Inc Preferred Provider Organization 3411 W Shiore Rd, Warwick, RI 02886 2014-10-24
1831508662 Matthew Bryant Mitchell Physical Therapist 400 Bald Hill Rd #511, Warwick, RI 02886 2014-08-06
Find all providers in zip 02886

Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407928179 Endovascular & Interventional Associates Inc Radiology 455 Toll Gate Rd, Warwick, RI 02886-2759 2006-11-15
1205874930 Rhode Island Medical Imaging Radiology 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 2006-06-03
1427055987 Landy Peter Paolella Radiology 455 Toll Gate Rd, Warwick, RI 02886-2759 2005-06-30
1356348817 Robert Edward Binek Radiology 455 Toll Gate Rd, Warwick, RI 02886-2759 2005-06-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851900286 Silver Spring Health Care Management, Inc Radiology 100 Kenyon Ave, Wakefield, RI 02879-4216 2020-07-31
1134742588 Sean O'neill Radiology 593 Eddy St, Providence, RI 02903-4923 2020-05-20
1497318620 Jessica Yoon Radiology 593 Eddy St, Providence, RI 02903-4923 2019-04-14
1346733102 Adam Charles Tuomi Radiology 593 Eddy St, Providence, RI 02903-4923 2018-06-07
1568880029 Rylee Olewinski Radiology 593 Eddy St, Providence, RI 02903-4923 2014-04-02
1922121185 Providence Interventional Associates, LLC Radiology 100 Highland Ave, Providence, RI 02906-2740 2007-04-10
1285617845 Brian F Stainken Radiology 825 Chalkstone Ave, Roger Williams Medical Center - Imaging Network of Ri, Providence, RI 02908-4728 2005-11-28
1295725042 Michael E Jay Radiology 111 Brewster Street, Pawtucket, RI 02860-4474 2005-10-24

Competitor

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City WARWICK
Zip Code 02886

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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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