MR. RICHARD P IACOBUCCI (NPI# 1760578132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760578132 |
Entity Type | Individual |
Full Name | MR. RICHARD P IACOBUCCI |
Credential | MD |
Practice Address |
725 Reservoir Ave Ste 103 Cranston RI 02910-4451 |
Mailing Address |
1635 Mineral Spring Avenue Ste # 200 North Providence RI 02904 |
Practice Telephone | 4018294446 |
Practice Fax Number | 4018294434 |
Mailing Telephone | 4013534936 |
Mailing Fax Number | 4012703304 |
Enumeration Date | 2006-10-05 |
Last Update Date | 2019-02-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | RI4390 | RI | Allopathic & Osteopathic Physicians |
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
RI4390 | RI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | 9002331 | 05 | |
BCBS | 23317 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1635 Mineral Spring Avenue, Ste # 200, North Providence, RI 02904 | 4013534936 | 4012703304 |
Street Address |
725 RESERVOIR AVE STE 103 |
City | CRANSTON |
State | RI |
Zip Code | 02910-4451 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710098249 | Ralph F Santoro | Internal Medicine | 725 Reservoir Ave Ste 103, Cranston, RI 02910-4451 | 2006-08-31 |
1891336293 | Erica Kristen Ogni | Nurse Practitioner | 725 Reservoir Ave Ste 103, Cranston, RI 02910-4451 | 2019-10-07 |
1215286984 | Emily Diniz | Nurse Practitioner | 725 Reservoir Ave Ste 103, Cranston, RI 02910-4451 | 2012-09-10 |
1629370309 | Kathleen L. Knowlton | Nurse Practitioner | 725 Reservoir Ave Ste 103, Cranston, RI 02910 | 2010-12-01 |
1184877953 | Tomoko Snyder | Nurse Practitioner | 725 Reservoir Ave Ste 103, Cranston, RI 02910-4451 | 2008-10-24 |
1871645341 | Deirdre Odelia Couture | Nurse Practitioner | 725 Reservoir Ave Ste 103, Cranston, RI 02910-4451 | 2007-01-17 |
1144377755 | Minh Huong Mary Fay | Nurse Practitioner | 725 Reservoir Ave Ste 103, Cranston, RI 02910-4451 | 2007-01-04 |
1881754281 | Shahzad Khurshid | Internal Medicine | 725 Reservoir Ave Ste 103, Cranston, RI 02910-4451 | 2006-12-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417443441 | Luis Guzman | Durable Medical Equipment & Medical Supplies | 29 Rolfe Square, Cranston, MA 02910 | 2018-07-02 |
1023535010 | Sarah Pagliarini | Nurse Practitioner | 725 Reservoir Ave Ste 308, Cranston, RI 02910 | 2017-08-29 |
1861890105 | Marissa Falco | Counselor | 1471 Elmwood Avenue, Cranston, RI 02910 | 2014-12-19 |
1952702425 | Lauren Beth Shibley | Counselor | 825 Pontiac Avenue Apt 14101, Cranston, RI 02910 | 2014-09-15 |
1831516632 | Kelly Kilmartin | Counselor | 471 Elmwood Avenue, Cranston, RI 02910 | 2014-03-19 |
1376784827 | Michael Eric Schaffer | Counselor | 989 Reservoir Ave Ste 104, Cranston, RI 02910 | 2009-03-13 |
1639384829 | Dolores Maiello Ciambrone | Social Worker | 145 Harmon Ave, Cranston, RI 02910 | 2007-05-11 |
1750502241 | Mary Jane Boucher | Counselor | Codac Cranston, 1052 Park Ave, Cranston, RI 02910 | 2007-05-01 |
1134250715 | Michele Bailey Chaudhry | Social Worker | 935 Reservoir Ave, Cranston, RI 02910 | 2007-03-08 |
1487703658 | Karen M Mega | Dentist | 567 Reservoir Ave, Cranston, RI 02910 | 2007-01-09 |
Find all providers in zip 02910 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
---|---|---|---|---|
1790974095 | Patrick J. Brannon, Md, Ltd | Internal Medicine | 725 Reservoir Ave, Suite 204, Cranston, RI 02910-4448 | 2007-10-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336381904 | Michael Wu | Internal Medicine | 950 Warren Ave Ste 201, East Providence, RI 02914-1432 | 2009-03-29 |
1902052558 | T.w. Tschirley Md Inc | Internal Medicine | 1524 Atwood Ave Ste 434, Johnston, RI 02919-3228 | 2008-08-14 |
1427210251 | John Rodriguez | Internal Medicine | 68 Cumberland St Ste 103, Woonsocket, RI 02895 | 2008-07-02 |
1689836371 | Katharine A. French | Internal Medicine | 950 Warren Ave Fl 2, East Providence, RI 02914-1432 | 2008-06-25 |
1265621460 | Gideon Koren | Internal Medicine | Rih, 1 Hoppin Street, Providence, RI 02903 | 2007-10-24 |
1134315567 | David B Pomfret | Internal Medicine | 20 Grey Gull Rd, Jamestown, RI 02835-2808 | 2007-09-19 |
1679792865 | Kenneth Baxter Nanian | Internal Medicine | 201 Tanglewood Dr, East Greenwich, RI 02818-2215 | 2007-04-25 |
1417085622 | Laboratorio Cardiovascular De P.r. | Internal Medicine | 391 Sargento Luis Medina Street, La Merced, San Juan, RI 00918 | 2007-03-01 |
1003921693 | Mario Tami | Internal Medicine | 1264 Smith St, Providence, RI 02908 | 2006-08-21 |
1205942646 | David J Fortunato | Internal Medicine | 75 S Union St, Unit 406, Pawtucket, RI 02860-3978 | 2006-08-21 |
Find all providers with the same taxonomy |
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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.