JARED ANDERSON (NPI# 1669852653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669852653 |
| Entity Type | Individual |
| Full Name | JARED ANDERSON |
| Credential | M.D. |
| Practice Address |
593 Eddy St Claverick 2 Providence RI 02903-0290 |
| Mailing Address |
125 Whipple St Ste 3 Providence RI 02908-3258 |
| Practice Telephone | 4015190337 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2019-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD16561 | RI | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 273543 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609367655 | Jared T Anderson | Audiologist | 4570 Pecan Dr Ste A, Paducah, KY 42001-6717 | 2018-05-25 |
| 1538448204 | Jared Anderson | Marriage & Family Therapist | 303 Justin Hall, Kansas State University, Manhattan, KS 66506-1400 | 2011-08-11 |
| 1124281092 | Jared R Anderson | Dentist | 325 A Street, Suite 2, Ashland, OR 97520 | 2008-07-09 |
| 1992321251 | Jared Lee Anderson | Nurse Practitioner | 9525 N Beach St Ste 405, Fort Worth, TX 76244-6438 | 2020-06-23 |
| 1891318796 | Jared Dean Anderson | Pharmacist | 1710 W 2nd St, Grand Island, NE 68803-5409 | 2020-05-26 |
| 1295389120 | Jared Michael Anderson | Residential Treatment Facility, Emotionally Disturbed Children | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2019-07-29 |
| 1487114997 | Jared D Anderson | Student in an Organized Health Care Education/Training Program | 1601 W 40th Ave Ste 1, Pine Bluff, AR 71603-6319 | 2019-03-21 |
| 1396256061 | Jared Chase Anderson | Social Worker | 1011 S William St, Atlanta, TX 75551-3245 | 2017-10-20 |
| 1295245868 | Jared Kirkman Anderson | Marriage & Family Therapist | 850 Colorado Blvd, Los Angeles, CA 90041-1738 | 2017-10-09 |
| 1912375494 | Jared S. Anderson | Physical Therapist | 2005 W Happy Valley Rd, Suite 170, Phoenix, AZ 85085-2893 | 2015-09-14 |
| Street Address |
593 EDDY ST CLAVERICK 2 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903-0290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952306185 | Mitchel A Sklar | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2005-06-15 |
| 1376140707 | Kristen Marie Czekanski | Student in an Organized Health Care Education/Training Program | 593 Eddy St, Providence, RI 02903-4923 | 2020-10-08 |
| 1326645300 | Elizabeth Stefanilo | Nurse Practitioner | 593 Eddy St, Providence, RI 02903-4923 | 2020-10-03 |
| 1841807633 | Julie Walden | Student in an Organized Health Care Education/Training Program | 593 Eddy St, Providence, RI 02903-4923 | 2020-09-26 |
| 1417567751 | Yigit Baykara | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2020-08-02 |
| 1588273064 | Cassandra Pagnotta | Dietitian, Registered | 593 Eddy St, Providence, RI 02903-4923 | 2020-07-30 |
| 1982213294 | Sabitha Sasidharan Pillai | Pediatrics | 593 Eddy St, Providence, RI 02903-4923 | 2020-07-23 |
| 1861019481 | Courtney Pedersen | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-30 |
| 1508483496 | Mohammad Hisham Hout | Urology | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-26 |
| 1639796642 | Benjamin Hagan | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588808901 | Remigiusz Robert Drozd | Emergency Medicine | 755 Westminster St #204, Providence, RI 02903 | 2009-04-29 |
| 1205842341 | Nadah Bano Zafar | Emergency Medicine | 10 Orms St, Suite 105, Providence, RI 02904-2228 | 2006-07-31 |
| 1992795207 | William David Binder | Emergency Medicine | 593 Eddy Street, Claverick 2, Providence, RI 02903-4923 | 2005-10-27 |
| 1861019481 | Courtney Pedersen | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-30 |
| 1639796642 | Benjamin Hagan | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-25 |
| 1992321954 | Katherine Stewart | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-24 |
| 1033735584 | Barret Zimmerman | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-21 |
| 1013530161 | Rachel Smith Shain | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2020-05-24 |
| 1073136198 | John Kyle Volpe | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2020-05-22 |
| 1922621267 | Johnathan Alan Martindale | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2020-05-21 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02903 |
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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.