RANDALL LEE UPDEGROVE (NPI# 1740227198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740227198 |
| Entity Type | Individual |
| Full Name | RANDALL LEE UPDEGROVE |
| Credential | M.D. |
| Practice Address |
1405 S County Trl Suite 510 East Greenwich RI 02818-5081 |
| Mailing Address |
2 Dudley St Suite Providence RI 02905-3236 |
| Practice Telephone | 4018849605 |
| Practice Fax Number | 4018849882 |
| Mailing Telephone | 4018849605 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2012-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 8772 | RI | Allopathic & Osteopathic Physicians |
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
08772 | RI | Allopathic & Osteopathic Physicians |
| Street Address |
1405 S COUNTY TRL SUITE 510 |
| City | EAST GREENWICH |
| State | RI |
| Zip Code | 02818-5081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649600552 | Allison E Kosiorek | Physical Therapist | 1405 S County Trl, East Greenwich, RI 02818-5081 | 2013-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875489 | Connor Michael Hagerty | Dentist | 61 Cedar Ave, #5, East Greenwich, RI 02818 | 2020-06-16 |
| 1467086777 | Kimberly Olson | Social Worker | 4372 Post Road, East Greenwich, RI 02818 | 2020-02-25 |
| 1154977106 | Pappas Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 1000 Division Road, Suite 100, East Greenwich, RI 02818 | 2019-08-15 |
| 1184270464 | Pappas Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 5805 Post Road, Unit 1, East Greenwich, RI 02818 | 2019-08-13 |
| 1003390428 | Liana Marie Waybright | Dietitian, Registered | East Greenwich Specialty Clinic, 1454 South County Trail, East Greenwich, RI 02818 | 2018-09-21 |
| 1053805614 | Danielle Moreau | Physical Therapist | 5750 Post Rd Ste 2a, East Greenwich, RI 02818 | 2018-06-18 |
| 1508385345 | Rhode Island Limb Co Inc | Physical Therapist | 63 Cedar Ave Unit 12, East Greenwich, RI 02818 | 2017-09-13 |
| 1407202963 | Doris Major Howie | Registered Nurse | 4512 Post Rd., East Greenwich, RI 02818 | 2016-05-13 |
| 1851648760 | Christi L Saurette | Social Worker | 3285 South County Trail, Suite 2b, East Greenwich, RI 02818 | 2012-08-09 |
| 1811257934 | Elizabeth Decker | Internal Medicine | 1407 S County Trl Ste 410, East Greenwich, RI 02818 | 2012-05-23 |
| Find all providers in zip 02818 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205040466 | Konstantine Nicholas Tsiongas | Preventive Medicine | 1106 Main Rd, Tiverton, RI 02878-4226 | 2007-05-09 |
| 1992752638 | Dana P B Sparhawk | Preventive Medicine | 2191 Post Rd, Suite 3, Warwick, RI 02886-1532 | 2006-05-28 |
| 1275955361 | Prime Healthcare Services Landmark LLC | Preventive Medicine | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2014-01-09 |
| 1932369063 | M. Pilar Munoz | Preventive Medicine | 203 Concord St, Suite 301, Pawtucket, RI 02860-3477 | 2008-06-12 |
| 1558539957 | Charles D Hackett | Preventive Medicine | 593 Eddy Street, Grads Dorm, Providence, RI 02903-4923 | 2008-02-19 |
| 1174642797 | Nancy Littell | Preventive Medicine | 593 Eddy St, Grads Dorm, Providence, RI 02903-4923 | 2007-03-28 |
| 1134248776 | Wayne P Estes | Preventive Medicine | 1526 Atwood Ave, Suite 100, Johnston, RI 02919-3289 | 2007-03-28 |
| 1891884631 | A. Edward D'andrea | Preventive Medicine | 21 Peace St, Providence, RI 02907-1510 | 2006-10-12 |
| 1750479150 | Axiom Occupational Health, LLC | Preventive Medicine | 100 Smithfield Ave, Pawtucket, RI 02860-3497 | 2006-10-11 |
| 1619954724 | Landmark Medical Center | Preventive Medicine | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2005-12-29 |
| Find all providers with the same taxonomy | ||||
| City | EAST GREENWICH |
| Zip Code | 02818 |
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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.