HAROLD J WANEBO MD LLC


Address: 1165 N Main St, 2nd Floor, Providence, RI 02904-5740
Phone: 4015292828

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086X0206X Surgery
Specialization: Surgical Oncology
MD07200 RI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RI 9006428 05

Office Location

Street Address 1165 N MAIN ST
2ND FLOOR
City PROVIDENCE
State RI
Zip Code 02904-5740

Providers in the same location

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

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 2086X0206X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgical Oncology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396778593 Landmark Physician Office Services Surgery 219 Cass Ave, Woonsocket, RI 02895-4741 2006-07-09

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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