DR. CARLOS G WAMBIER (NPI# 1679054043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679054043 |
| Entity Type | Individual |
| Full Name | DR. CARLOS G WAMBIER |
| Credential | MD, PHD |
| Practice Address |
65 Village Square Dr Ste 201 South Kingstown RI 02879-2292 |
| Practice Telephone | 4017381120 |
| Mailing Telephone | 4017381120 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2020-01-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | LA00016 | RI | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 61812 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
65 VILLAGE SQUARE DR STE 201 |
| City | SOUTH KINGSTOWN |
| State | RI |
| Zip Code | 02879-2292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831549435 | Bh Brightview Commons Opco, LLC | Alzheimer Center (Dementia Center) | 57 Grandeville Court, Wakefield, RI 02879 | 2016-06-15 |
| 1215392071 | Leslie Healy | Occupational Therapist | 12 Galleon Ct, Wakefield, RI 02879 | 2015-12-22 |
| 1649673799 | Peter Storti | Clinic/Center | 28 Columbia Street, Wakefield, RI 02879 | 2014-10-03 |
| 1285988790 | Silver Spring Health Care Management, Inc. | Physician Assistant | 70 Kenyon Ave Unit 321, Wakefield, RI 02879 | 2012-11-06 |
| 1013271584 | Amy Lee Barker | Speech-Language Pathologist | 213 Robinson Street, Wakefield, RI 02879 | 2012-06-29 |
| 1366708489 | Paige Houlihan | Student in an Organized Health Care Education/Training Program | 91 Rocky Brook Way St, Wakefield, RI 02879 | 2012-04-03 |
| 1639307176 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53 Dockray Street, Wakefield, RI 02879 | 2009-06-23 |
| 1649482233 | Marilyn A. Cooney | Speech-Language Pathologist | 307 Curtis Corner Road, Wakefield, RI 02879 | 2007-05-04 |
| 1518184522 | Keeley Therese Dante-card | Registered Nurse | 55 Cherry Lane, Wakefield, RI 02879 | 2007-04-19 |
| 1679799217 | Codac Inc | Peer Specialist | 350 Columbia St, Codac South County, Wakefield, RI 02879 | 2007-04-18 |
| Find all providers in zip 02879 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689153454 | Maeve Riane Tobin | Dermatology | 333 School St Ste 112a, Pawtucket, RI 02860-5336 | 2018-08-12 |
| 1588082200 | Julia O. Baltz | Dermatology | 1672 S County Trl Ste 101, East Greenwich, RI 02818-5099 | 2014-03-31 |
| 1548685985 | Agape Medical Spa of Warwick, Inc | Dermatology | 49 Seekonk St Unit 3, Providence, RI 02906-5176 | 2014-02-21 |
| 1124382023 | Scott Hammerman | Dermatology | 50 Maude St Fl 1, Department of Dermatology and Skin Surgery, Providence, RI 02908-4325 | 2012-06-26 |
| 1356583439 | Caroline Chang | Dermatology | 5586 Post Rd Unit 6, East Greenwich, RI 02818-3454 | 2009-04-03 |
| 1497885719 | Louis A Fragola Jr Md Ltd | Dermatology | 1525 Wampanoag Trail, East Providence, RI 02915 | 2007-03-06 |
| 1215086988 | Laura Della Torre | Dermatology | 1539 Atwood Ave Ste 301, Providence, RI 02919-3262 | 2007-01-10 |
| 1518053271 | Nomate Toate Kpea | Dermatology | 43 Jefferson Boulevard, Suite #2, Warwick, RI 02888 | 2006-10-04 |
| 1457364382 | Candace S Lapidus | Dermatology | 5 Spinnaker Dr, Barrington, RI 02806-2831 | 2006-08-14 |
| 1265447049 | Paul T Zaydon,md | Dermatology | 115 Newport Ave, Pawtucket, RI 02861-4107 | 2006-07-30 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH KINGSTOWN |
| Zip Code | 02879 |
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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.