CHAD P. NEVOLA, MD, INC. (NPI# 1770689002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770689002 |
| Entity Type | Organization |
| Organization Name | CHAD P. NEVOLA, MD, INC. |
| Practice Address |
120 Dudley St Suite 105 Providence RI 02905-2436 |
| Practice Telephone | 4012739555 |
| Practice Fax Number | 4018614943 |
| Mailing Telephone | 4012739555 |
| Mailing Fax Number | 4018614943 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2008-06-12 |
| Authorized Official Name | CHAD PETER NEVOLA (SOLE STOCKHOLDER) |
| Authorized Official Telephone | 4012739555 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD10281 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | FIRST HEALTH OF RI | 2642815 | 01 |
| RI | HCVM OF RI | 407860 | 01 |
| RI | BLUE CHIP OF RI | 407401 | 01 |
| RI | CIGNA | 710058301 | 01 |
| RI | CN32566 | 05 | |
| RI | BLUE CROSS/BLUE SHIELD RI | 31505-8 | 01 |
| RI | NEIGHBORHOOD HEALTH PLAN | 3815 | 01 |
| RI | UNITED HEALTH PLAN OF RI | 1984965 | 01 |
| RI | TUFTS HEALTH PLAN | 478834 | 01 |
| Street Address |
120 DUDLEY ST SUITE 105 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-2436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538154703 | Yoash R Enzer | Ophthalmology | 120 Dudley St, Suite 104, Providence, RI 02905-2436 | 2005-09-14 |
| 1538693023 | Donna O'neil | Ophthalmology | 120 Dudley St, Suite 104, Providence, RI 02905-2436 | 2017-04-12 |
| 1316114820 | Kathleen Fizgerald, Md | Obstetrics & Gynecology | 120 Dudley St, Suite 305, Providence, RI 02905-2436 | 2008-05-14 |
| 1548442338 | Philip R Rizzuto, Md Ltd | Ophthalmology | 120 Dudley St, Suite 301, Providence, RI 02905-2436 | 2007-12-04 |
| 1023290939 | Michael E. Migliori, Md Facs, Ltd | Ophthalmology | 120 Dudley St, Suite 301, Providence, RI 02905-2436 | 2007-12-03 |
| 1861694069 | Robert H. Janigian Jr. Md LLC | Ophthalmology | 120 Dudley St, Suite 303, Providence, RI 02905-2436 | 2007-06-01 |
| 1033130224 | Mary Ann C Passero | Allergy & Immunology | 120 Dudley St, Suite 203, Providence, RI 02905-2436 | 2006-07-22 |
| 1881614907 | Kathleen Fitzgerald | Obstetrics & Gynecology | 120 Dudley St, Providence, RI 02905-2436 | 2006-07-20 |
| 1366428120 | Richard G Bryan | Ophthalmology | 120 Dudley St, Suite 303, Providence, RI 02905-2436 | 2005-12-22 |
| 1689657306 | Prakash Sampath | Neurological Surgery | 120 Dudley St, Providence, RI 02905-2436 | 2005-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1275949984 | Jessica Brett Farrell | Pediatrics | 285 Governor St Ste 3, Providence, RI 02906 | 2014-07-02 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1467755637 | Zaid Alhinai | Pediatrics | 117 Wyndham Ave, Providence, RI 02908-3511 | 2010-12-10 |
| 1811222300 | Daniella Teape | Pediatrics | 593 Eddy St Rm 319, Providence, RI 02903-4923 | 2009-10-16 |
| 1609061175 | Drs Lampal and Montgomery | Pediatrics | 207 Waterman St, Providence, RI 02906-4381 | 2007-09-07 |
| 1174738967 | Colette S. Vieau | Pediatrics | 95 Pitman St Ste 2200, Providence, RI 02906-4311 | 2007-05-14 |
| 1538385760 | Monica Joan Schaberg | Pediatrics | 58 Irving Ave, Providence, RI 02906-4141 | 2007-04-17 |
| 1700916236 | Suzanne B Craig | Pediatrics | Blue Cross & Blue Shield of Ri, 444 Westminsterstreet, Providence, RI 02903 | 2007-03-06 |
| 1679649297 | Kelvin D Gillman | Pediatrics | 845 North Main Street, Ste #7, Providence, RI 02904 | 2006-11-27 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
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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.