DR. MARY LOUISE GIOVETTI (NPI# 1720180367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720180367 |
| Entity Type | Individual |
| Full Name | DR. MARY LOUISE GIOVETTI |
| Credential | M.D. |
| Practice Address |
36 Bridge Way Pascoag RI 02859-3131 |
| Mailing Address |
36 The Bridgeway Northwest Health Center Pascoag RI 02859 |
| Practice Telephone | 4015687661 |
| Practice Fax Number | 4015687949 |
| Mailing Telephone | 4015687661 |
| Mailing Fax Number | 4015687949 |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2009-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | RI7491 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BCBS | 27082 | 01 |
| RI | HARVARD PILGRIM | AA34892 | 01 |
| RI | NEIGHBORHOOD HEALTH | 01150 | 01 |
| RI | MEDICARE GROUP NUMBER | 411814 | 01 |
| RI | 7001348 | 05 | |
| RI | UNITED HEALTH | 0100391 | 01 |
| RI | BCHIP | 004121 | 01 |
| Street Address |
36 BRIDGE WAY |
| City | PASCOAG |
| State | RI |
| Zip Code | 02859-3131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245219070 | Northwest Community Health Care | Clinic/Center | 36 Bridge Way, Pascoag, RI 02859 | 2006-01-11 |
| 1699311753 | Miryam Amelia Boucher | Registered Nurse | 36 Bridge Way, Pascoag, RI 02859-3131 | 2019-11-25 |
| 1699335059 | Jessica Wood | Specialist/Technologist | 36 Bridge Way, Pascoag, RI 02859-3131 | 2019-06-18 |
| 1477048098 | Ashleigh Nicole Graley | Dentist | 36 Bridge Way, Pascoag, RI 02859-3131 | 2018-06-26 |
| 1275032476 | Alice Mui | Registered Nurse | 36 Bridge Way, Pascoag, RI 02859-3131 | 2018-02-03 |
| 1942721246 | Leslie Bumpus | Dentist | 36 Bridge Way, Pascoag, RI 02859-3131 | 2017-06-28 |
| 1275932311 | Sarah C. Gulla | Nurse Practitioner | 36 Bridge Way, Pascoag, RI 02859-3131 | 2014-08-14 |
| 1194134601 | Khantil R Shah | Dentist | 36 Bridge Way, Pascoag, RI 02859-3131 | 2014-08-08 |
| 1235548371 | Stephanie Pinto | Nurse Practitioner | 36 Bridge Way, Pascoag, RI 02859-3131 | 2014-08-02 |
| 1700291861 | Kendra Crotty | Registered Nurse | 36 Bridge Way, Pascoag, RI 02859-3131 | 2014-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811397763 | Patricia Scuncio | Physical Therapy Assistant | 252 Donahue Road, Pascoag, RI 02859 | 2014-08-28 |
| 1134479520 | Kimberly Mary Cote | Social Worker | 2078 Wallum Lake Rd., Pascoag, RI 02859 | 2012-09-13 |
| 1487923793 | Northwest Community Health Care | Clinic/Center | 999 S. Main Street, Pascoag, RI 02859 | 2011-12-16 |
| 1730343666 | James Edward Sullivan | Counselor | 2076 Wallum Lake Rd, Pascoag, RI 02859 | 2008-07-10 |
| 1427243682 | Julie A. Vander Schel | Counselor | 2076 Wallum Lake Road, Pascoag, RI 02859 | 2007-09-11 |
| 1699985226 | Donna Watson | Counselor | 2198 Wallum Lake Rd., Pascoag, RI 02859 | 2007-05-23 |
| 1194817197 | Purvi Chokshi | Internal Medicine | 2090 Wallum Lake Road, Pascoag, RI 02859 | 2006-09-28 |
| 1659395622 | Dennis Edward Joyce | Counselor | 2198 Wallum Lake Road, Pascoag, RI 02859 | 2006-07-26 |
| 1427087782 | Robert James Brothers | Counselor | 2198 Wallum Lake Rd, Pascoag, RI 02859 | 2006-06-30 |
| 1194002972 | Northwest Community Health Care | Community/Behavioral Health | 1 High Street, Pascoag, RI 02859 | 2011-11-08 |
| Find all providers in zip 02859 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1619526217 | Jean Simon Joel Edouard | Family Medicine | 22 Parsonage St # 184, Providence, RI 02903-4758 | 2019-09-05 |
| 1417417734 | Danielle Turnquest | Family Medicine | 111 Brewster St Bldg 3, Pawtucket, RI 02860-4474 | 2019-03-22 |
| 1841787652 | Southcoast Physicians Group, Inc. | Family Medicine | 670 Aquidneck Avenue, Middletown, RI 02841 | 2018-04-17 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1497253322 | Medi Health and Wellness, LLC | Family Medicine | 80 Lambert Lind Hwy, Warwick, RI 02886-1071 | 2018-01-25 |
| 1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
| 1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
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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.