COLIN MATTHEW WOODARD (NPI# 1760820591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760820591 |
Entity Type | Individual |
Full Name | COLIN MATTHEW WOODARD |
Credential | DO |
Practice Address |
1150 Reservoir Ave Ste 201 Cranston RI 02920-6092 |
Practice Telephone | 4019431300 |
Practice Fax Number | 4019468480 |
Mailing Telephone | 4019431300 |
Enumeration Date | 2013-06-14 |
Last Update Date | 2019-12-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
DO00958 | RI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | 1760820591 | 05 |
Street Address |
1150 RESERVOIR AVE STE 201 |
City | CRANSTON |
State | RI |
Zip Code | 02920-6092 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306128251 | Jodi B Cusack | Physician Assistant | 1150 Reservoir Ave Ste 201, Cranston, RI 02920 | 2011-09-16 |
1558612051 | Lauren Marie Gallagher | Nurse Practitioner | 1150 Reservoir Ave Ste 201, Cranston, RI 02920-6043 | 2012-09-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184262198 | Beacon Dental Health Ri, PC | Clinic/Center | Beacon Dental Health Ri, P.C., 1090 New London Avenue, Cranston, RI 02920 | 2019-12-20 |
1821642240 | Jaime L Nixon | Dietitian, Registered | 444 Meshanticut Valley Parkway, Apt 37, Cranston, RI 02920 | 2019-07-25 |
1164923553 | Codac Inc | Peer Specialist | 3 Regan Ct, Cranston, RI 02920 | 2018-02-22 |
1144673096 | Joanne Le | Optometrist | 1400 Oaklawn Ave., Cranston, RI 02920 | 2016-07-15 |
1053790733 | Alanna Conley | Speech-Language Pathologist | 45 Sockanosset Cross Rd Ste 100, Cranston, RI 02920 | 2015-05-27 |
1114322740 | Nicole Enos | Physical Therapist | 51 Sockanosset Crossroad, Cranston, RI 02920 | 2014-10-24 |
1841622313 | Courtney Faiith Oliver | Occupational Therapy Assistant | 150 Midway Road, Suite 173, Cranston, RI 02920 | 2013-08-06 |
1386086403 | Sarah Gonzalez | Marriage & Family Therapist | 105 Sockanosset Cross Rd Ste 102, Cranston, RI 02920 | 2013-07-18 |
1902246788 | Amanda Lee Zarriello | Physical Medicine & Rehabilitation | 10 Worthington Rd, Cranston, RI 02920 | 2013-06-26 |
1962742528 | Yatyee Lee | Counselor | 141 Elmwood Avenue, Cranston, RI 02920 | 2013-02-19 |
Find all providers in zip 02920 |
Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
---|---|---|---|---|
1831183904 | Paul William Roderick | Internal Medicine | 1150 Reservoir Ave, Suite 201, Cranston, RI 02920-6068 | 2005-09-06 |
1053517565 | Robert John Bierwirth | Internal Medicine | 1150 Reservoir Ave, Suite 201, Cranston, RI 02920-6068 | 2007-06-22 |
1184847089 | Richard Jay Gilbert | Internal Medicine | 922 Reservoir Ave, Cranston, RI 02910-4417 | 2007-04-10 |
1619062411 | Philip Joseph Opalenski | Internal Medicine | 725 Reservoir Ave, Ste 205, Cranston, RI 02910 | 2006-10-04 |
1376553990 | Internal Medicine Associates Inc | Internal Medicine | 1150 Reservoir Ave, Suite 201, Cranston, RI 02920 | 2006-08-08 |
1043205537 | Thomas Henry Mcgreen | Internal Medicine | 1150 Reservoir Ave, Suite 201, Cranston, RI 02920-6068 | 2005-09-12 |
1255325932 | George Lyman Powers | Internal Medicine | 1150 Reservoir Ave, Suite 201, Cranston, RI 02920-6068 | 2005-09-08 |
1871587550 | Robert Wolfgang | Internal Medicine | 1150 Reservoir Ave, Suite 201, Cranston, RI 02920-6068 | 2005-09-08 |
1417941105 | Morris Paul Elevado | Internal Medicine | 1150 Reservoir Ave, Suite 201, Cranston, RI 02920-6068 | 2005-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023471695 | Jaehoon Cho | Internal Medicine | 593 Eddy St Ste 240, Providence, RI 02903-4923 | 2016-04-01 |
1568701522 | Jerry M Kheradi | Internal Medicine | 14 Riverview Dr, North Providence, RI 02904-2910 | 2013-02-11 |
1649583782 | Abbas Rupawala | Internal Medicine | 375 Wampanoag Trl Ste 202a, Riverside, RI 02915-2234 | 2010-07-19 |
1194952929 | Jason Ferreira | Internal Medicine | 148 W River St Ste 3, Providence, RI 02904-2615 | 2009-06-19 |
1548437395 | Diana Ying Wu | Internal Medicine | 100 Dudley St, Providence, RI 02905-3233 | 2008-05-12 |
1396816617 | Thomas P. Mcmahon, Md, Inc. | Internal Medicine | 110 Clock Tower Sq, Portsmouth, RI 02871-1396 | 2006-11-10 |
1366537425 | William Chen, Md, LLC | Internal Medicine | 3 Staniford Street, Providence, RI 02905 | 2006-10-04 |
1376637710 | Cashel Associates | Internal Medicine | 33 Staniford Street, Providence, RI 02905 | 2006-10-02 |
1205920782 | Eric Berthiaume, Md, LLC | Internal Medicine | 1407 South County Trail, Building 4 Suite 410, East Greenwich, RI 02818 | 2006-10-02 |
1093723546 | Gastroenterology Associates Inc | Internal Medicine | 44 West River Street, Providence, RI 02904 | 2006-08-03 |
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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.