DR. ARVIN S. GLICKSMAN (NPI# 1780638247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780638247 |
| Entity Type | Individual |
| Full Name | DR. ARVIN S. GLICKSMAN |
| Credential | M.D. |
| Practice Address |
249 Roosevelt Ave Suite 201 Pawtucket RI 02860-2134 |
| Practice Telephone | 4017284835 |
| Practice Fax Number | 4017284816 |
| Mailing Telephone | 4017284835 |
| Mailing Fax Number | 4017284816 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2007-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
RI4664 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 9006482 | 05 |
| Street Address |
249 ROOSEVELT AVE SUITE 201 |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324101 | Gateway Healthcare, Inc | Case Management | 249 Roosevelt Ave, Unit 205, Pawtucket, RI 02860-2134 | 2005-05-23 |
| 1487267449 | Silifat Adedayo Ainabe | Clinic/Center | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2020-08-28 |
| 1093379190 | Carla Justiniano | Social Worker | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2019-04-24 |
| 1467915561 | Haleigh O'brien | Social Worker | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2019-04-08 |
| 1235614769 | Alim Hos | Counselor | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2018-10-01 |
| 1982193884 | Angela Gallo | Social Worker | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2018-05-07 |
| 1033607072 | Jennifer M Pelkey | Counselor | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2018-04-25 |
| 1801323910 | Jenna Petrucci | Counselor | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2017-05-19 |
| 1942736855 | Briana Ransford | Counselor | 249 Roosevelt Ave, Suite 205, Pawtucket, RI 02860-2134 | 2017-05-11 |
| 1275071409 | Wanda M Angel | Social Worker | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2017-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
| 1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
| 1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
| 1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
| 1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
| 1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
| 1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
| 1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
| Find all providers in zip 02860 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629545652 | Brown Urology, Inc. | Radiology | 827 N Main St Ste 4, Providence, RI 02904-5751 | 2018-10-29 |
| 1750644662 | Esther Yu | Radiology | 593 Eddy St., R.i. Hospital Rad/onc Dept / Apc Basement, Providence, RI 02903 | 2012-06-18 |
| 1841270303 | South County Radiation Therapy, LLC | Radiology | 142 Kenyon Ave, Wakefield, RI 02879-4216 | 2006-01-20 |
| 1184605016 | Darlene Gabeau | Radiology | 142 Kenyon Avenue, Wakefield, RI 02879 | 2005-11-08 |
| 1174510945 | Prakash B. Chougule | Radiology | 450 Toll Gate Rd, Warwick, RI 02886-2715 | 2005-10-05 |
| 1538162508 | Scott A. Triedman | Radiology | 825 N Main St, Providence, RI 02904-5707 | 2005-05-24 |
| 1891317509 | Silver Spring Health Care Management, Inc | Radiology | 142 Kenyon Ave, Wakefield, RI 02879-4216 | 2020-05-15 |
| 1427525583 | Brown Urology, Inc. | Radiology | 2 Dudley St Ste 185, Providence, RI 02905-3247 | 2018-10-26 |
| 1336616499 | Brown Urology, Inc. | Radiology | 450 Veterans Memorial Pkwy Bldg 14, East Providence, RI 02914-5300 | 2018-10-26 |
| 1467973099 | Brown Urology, Inc. | Radiology | 195 Collyer St Ste 201, Providence, RI 02904-1869 | 2017-07-05 |
| 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.