HAROLD J WANEBO MD LLC (NPI# 1740609981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740609981 |
Entity Type | Organization |
Organization Name | HAROLD J WANEBO MD LLC |
Practice Address |
1165 N Main St 2nd Floor Providence RI 02904-5740 |
Practice Telephone | 4015292828 |
Practice Fax Number | 4019431958 |
Mailing Telephone | 4015292828 |
Mailing Fax Number | 4019431958 |
Enumeration Date | 2014-04-15 |
Last Update Date | 2015-03-26 |
Authorized Official Name | DR. HAROLD J WANEBO (OWNER) |
Authorized Official Telephone | 4015292828 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
MD07200 | RI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | 9006428 | 05 |
Street Address |
1165 N MAIN ST 2ND FLOOR |
City | PROVIDENCE |
State | RI |
Zip Code | 02904-5740 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255386868 | Providence Urology, LLC | Urology | 1165 N Main St, Suite 200, Providence, RI 02904-5740 | 2006-05-23 |
1073162202 | Jewish Collaborative Services | Counselor | 1165 N Main St, Providence, RI 02904-5740 | 2019-09-10 |
1508345778 | Tara Marie Watkins | Social Worker | 1165 N Main St, Providence, RI 02904-5740 | 2018-08-08 |
1790042729 | David L.kitzes,md Inc | Internal Medicine | 1165 N Main St, Suite 200, Providence, RI 02904-5740 | 2012-04-16 |
1588673347 | Jewish Family Services | Durable Medical Equipment & Medical Supplies | 1165 N Main St, Providence, RI 02904-5740 | 2006-08-07 |
1801811260 | Tina Matarazzo Sheff | Social Worker | 1165 N Main St, Providence, RI 02904-5740 | 2006-07-13 |
1154360469 | Harry Michael Iannotti | Urology | 1165 N Main St, Ste. 200, Providence, RI 02904-5740 | 2006-06-05 |
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 Code | 2086X0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Oncology |
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770732497 | Abdul Saied Calvino | Surgery | 825 Chalkstone Ave, Dept. of Surgery - Prior 4, Providence, RI 02908-4728 | 2008-09-17 |
1275793044 | Steven C Katz | Surgery | 50 Maude St, Providence, RI 02908-4325 | 2008-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396778593 | Landmark Physician Office Services | Surgery | 219 Cass Ave, Woonsocket, RI 02895-4741 | 2006-07-09 |
City | PROVIDENCE |
Zip Code | 02904 |
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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.