DR. EDWARD J GAUTHIER (NPI# 1750475992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750475992 |
| Entity Type | Individual |
| Full Name | DR. EDWARD J GAUTHIER |
| Credential | M.D. |
| Practice Address |
1332 Smith St North Providence RI 02911-3303 |
| Mailing Address |
Po Box 8879 Cranston RI 02920-0879 |
| Practice Telephone | 4012735277 |
| Practice Fax Number | 4017512980 |
| Mailing Telephone | 4015723120 |
| Mailing Fax Number | 4015723351 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-05-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 3421 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | LICENSE | 3421 | 01 |
| RI | BLUE CROSS/ BLUE SHIELD | 7018 | 01 |
| UNITED HEALTH | 0400505 | 01 | |
| PILGRIM | 64950RIH | 01 | |
| RI | BC/BS BLUECHIP | 000856 | 01 |
| RI | 9000701 | 05 |
| Street Address |
1332 SMITH ST |
| City | NORTH PROVIDENCE |
| State | RI |
| Zip Code | 02911-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790227932 | Lepre Physical Therapy | Preferred Provider Organization | 1525 Smith Street, North Providence, RI 02911 | 2016-11-04 |
| 1376916304 | Catherine Deborah Lariviere | Counselor | 7 Sunset Avenue, North Providence, RI 02911 | 2015-11-13 |
| 1184005282 | Melissa Ricciotti | Physical Therapist | 1525 Smith Street #5, North Providence, RI 02911 | 2015-06-15 |
| 1982041109 | Camia Crawford Dimock | Family Medicine | 33 Maple St, North Providence, RI 02911 | 2013-05-29 |
| 1821168642 | Patricia C Morena | Counselor | 1845 Smith St, #8, No Providence, RI 02911 | 2006-11-09 |
| 1619056355 | Robert W Gibbons | Podiatrist | 2050 Mineral Spring Ave, North Providence, RI 02911 | 2006-11-03 |
| 1063068344 | Pappas Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 1525 Smith Street, Unit #5, North Providence, RI 02911 | 2019-08-13 |
| 1306366695 | Linzi Rae Matta | Social Worker | 420 Fruit Hill Ave, North Providence, RI 02911 | 2017-06-27 |
| 1942708714 | Daphnay Laura Gabriel | Counselor | 13 Saint Marys Rd, North Providence, RI 02911-1023 | 2018-01-26 |
| 1093909806 | Nicole Jellinek | Social Worker | 229 Waterman Ave, Providence, RI 02911-1043 | 2007-09-05 |
| Find all providers in zip 02911 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205364544 | Ocean State Urgent Care Center of North Providence, LLC | Internal Medicine | 1637 Mineral Spring Ave Ste 115, North Providence, RI 02904-4042 | 2017-05-31 |
| 1295083061 | Vincent Augustus Deconti | Internal Medicine | 57 West River Pkwy, North Providence, RI 02904-3430 | 2012-08-27 |
| 1316268741 | Denis E. Moonan, Md, Inc | Internal Medicine | 1515 Smith Street, Suite N, North Providence, RI 02911-2947 | 2010-06-21 |
| 1730392390 | Andrzej J Stankiewicz Md Phd Ltd | Internal Medicine | 200 High Servce Avenue, Marian Hall 2nd Floor, North Providence, RI 02904-5113 | 2007-05-08 |
| 1003940735 | Cardiology & Internal Medicine Associates of Rhode Island,inc. | Internal Medicine | 214 High Service Ave, North Providence, RI 02904-5115 | 2007-03-15 |
| 1942333877 | Amir Alizadeh,md Inc. | Internal Medicine | 1637 Mineral Spring Ave 107, North Providence, RI 02904-4042 | 2007-03-13 |
| 1386722700 | Javid A Calcatti | Internal Medicine | 1635 Mineral Spring Ave Ste 203, Suite 305, North Providence, RI 02904-4025 | 2006-11-02 |
| 1861570871 | Claude Elias Younes | Internal Medicine | 1300 Mineral Spring Ave, North Providence, RI 02904-4606 | 2006-11-01 |
| 1124095211 | Andrzej J Stankiewicz | Internal Medicine | 200 High Service Avenue, Marian Hall 2nd Floor, North Providence, RI 02904-5113 | 2006-03-07 |
| 1902886757 | North Providence Primary Care Assoc Inc | Internal Medicine | 1830 Mineral Spring Ave, North Providence, RI 02904-3864 | 2006-01-18 |
| Find all providers in NORTH PROVIDENCE | ||||
| City | NORTH PROVIDENCE |
| Zip Code | 02911 |
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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.