SEAN BENNETT EDEN


Address: 1195 N Main St, Fl 2, Providence, RI 02904-1824
Phone: 4013401000

SEAN BENNETT EDEN (NPI# 1700323490) 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) 1700323490
Entity Type Individual
Full Name SEAN BENNETT EDEN
Credential PA-C
Practice Address 1195 N Main St
Fl 2
Providence
RI 02904-1824
Practice Telephone 4013401000
Mailing Telephone 4013401000
Enumeration Date 2017-01-19
Last Update Date 2017-05-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA00933 RI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1195 N MAIN ST
FL 2
City PROVIDENCE
State RI
Zip Code 02904-1824

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790744381 Ian Paul Krouson Physician Assistant 1195 N Main St, Providence, RI 02904-1824 2006-03-22
1730663287 Lisa S Bailey Physician Assistant 1195 N Main St, Providence, RI 02904-1824 2018-09-20
1558816330 East Side Primary Care Providence LLC Internal Medicine 1195 N Main St, Providence, RI 02904-1824 2016-08-22
1235305871 Agape Primary Care and Laser Center LLC Dermatology 1195 N Main St, Providence, RI 02904-1824 2008-05-04
1558531467 East Side Urgent Care LLC Clinic/Center 1195 N Main St, Providence, RI 02904-1824 2008-03-06
1952501942 Jason Charles Xynellis Physician Assistant 1195 N Main St, Providence, RI 02904-1824 2007-07-19
1437224763 Michael Stempek Physician Assistant 1195 N Main St, Providence, RI 02904-1824 2006-11-21
1639168198 Frederick Salvatore Crisafulli Internal Medicine 1195 N Main St, Providence, RI 02904-1824 2005-10-18

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
Find all providers in zip 02904

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922622265 Jacob H. Sosa Physician Assistant 11 Amy St, Providence, RI 02906-3802 2020-06-02
1114541661 Alison Ruth Dias Physician Assistant 164 Summit Ave Fl 3, Providence, RI 02906-2853 2020-06-01
1780210021 Michael Weller Physician Assistant 166 Valley St Apt 6a202, Providence, RI 02909-2467 2020-03-18
1659915221 Sanju Dhital Physician Assistant 15 Tew Pl, Providence, RI 02906-1721 2019-11-06
1467093823 Alan Miller Physician Assistant 79 11th St, Providence, RI 02906-2911 2019-10-07
1134774011 Linda Ung Physician Assistant 198 Wendell St, Providence, RI 02909-2129 2019-08-07
1346703527 Simran Kaur Kochar Physician Assistant 207 Jastram St, Providence, RI 02908-2708 2019-04-13
1457881666 Katelyn Mary Pires Physician Assistant 539 Eddy St., Providence, RI 02903 2017-06-20
1265556872 Tor Clark Physician Assistant Brown University Health Service, Box 1928, Providence, RI 02912 2007-03-19
1275509408 Sharonda Evette Keith Physician Assistant 593 Eddy Street, Apc-6, Lifespan Physician's Group, Dept of Neurosurgery, Providence, RI 02903 2006-02-27
Find all providers in PROVIDENCE

Competitor

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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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