PRIMARY WALK-IN MEDICAL URGENT CARE LLC (NPI# 1790260974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790260974 |
| Entity Type | Organization |
| Organization Name | PRIMARY WALK-IN MEDICAL URGENT CARE LLC |
| Practice Address |
684 Warren Ave East Providence RI 02914-1405 |
| Practice Telephone | 4014340022 |
| Mailing Telephone | 4014340022 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |
| Authorized Official Name | CONSTANTINE VAFIDIS (OWNER) |
| Authorized Official Telephone | 4014340022 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Street Address |
684 WARREN AVE |
| City | EAST PROVIDENCE |
| State | RI |
| Zip Code | 02914-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962598516 | Walter Deluca | Physician Assistant | 684 Warren Ave, East Providence, RI 02914-1405 | 2006-10-04 |
| 1225444243 | Primary Medical Center and Walk-in LLC | Clinic/Center | 684 Warren Ave, East Providence, RI 02914-1405 | 2014-07-10 |
| 1720426646 | Andrew Francis Moody | Physician Assistant | 684 Warren Ave, East Providence, RI 02914-1405 | 2013-06-13 |
| 1518056795 | Angelo Carpethos | Physician Assistant | 684 Warren Ave, East Providence, RI 02914-1405 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457988198 | Sean C. Duffy | Massage Therapist | 231 Warren Ave., East Providence, RI 02914 | 2020-03-24 |
| 1457905606 | Jeanine Le-kreuzer, Lmhc | Clinic/Center | 3421 Pawtucket Ave, East Providence, RI 02914 | 2019-07-26 |
| 1881113983 | Megan Grace Fitzpatrick | Student in an Organized Health Care Education/Training Program | 51 Milburn Rd, East Providence, RI 02914 | 2017-09-11 |
| 1265719660 | Hilary Elise Bicknell | Physical Therapist | 927 B Warren Ave, East Providence, RI 02914 | 2011-11-14 |
| 1346549037 | Amanda M Hope | Occupational Therapist | 2680 Pawtucket Ave, East Providence, RI 02914 | 2011-03-21 |
| 1780993824 | Shannon Hayes | Physical Therapist | 400 Massaoit Ave, East Providence, RI 02914 | 2010-10-06 |
| 1053623538 | Ricardo Rafael Correa Marquez | Internal Medicine | 900 Warren Avenue, Suite 300, East Providence, RI 02914 | 2010-07-13 |
| 1013231570 | Michael Seidler | Internal Medicine | 20 Catamore Blvd., East Providence, RI 02914 | 2010-03-26 |
| 1053543405 | Ray Rezania | Dentist | 1055 South Broadway, East Providence, RI 02914 | 2009-08-19 |
| 1144464587 | John F Maynard | Urology | Metacomet Office Park, 450 Veterans Parkway, East Providence, RI 02914 | 2009-04-29 |
| Find all providers in zip 02914 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720011018 | Wampanoag Medical Clinic & Treatment Center | Clinic/Center | 1970 Pawtucket Ave, East Providence, RI 02914-1718 | 2006-07-09 |
| 1225444243 | Primary Medical Center and Walk-in LLC | Clinic/Center | 684 Warren Ave, East Providence, RI 02914-1405 | 2014-07-10 |
| 1295818078 | East Providence Emergency Room Inc | Clinic/Center | 525 Taunton Ave, East Providence, RI 02914-1603 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306021605 | American Current Care P.a. | Clinic/Center | 2191 Post Road, Suite 3, Warwick, RI 02886 | 2008-01-04 |
| 1053596346 | American Current Care P.a. | Clinic/Center | 203 Concord Street, Suite 301, Pawtucket, RI 02860 | 2008-01-04 |
| 1699896746 | Harbour Medical | Clinic/Center | 1000 Division St, Harbour Medical Suite #70, East Greenwich, RI 02818-2008 | 2007-04-03 |
| 1164575338 | Providence Medical Healthcare Center | Clinic/Center | 80 Dean St, Providence, RI 02903-1504 | 2007-01-19 |
| 1386610921 | D Halpren Ruder Inc | Clinic/Center | 400 Putnam Pike, Suite E, Smithfield, RI 02917-2408 | 2006-02-24 |
| 1013302488 | Ocean State Urgent Care Center of Coventry, LLC | Clinic/Center | 982 Tiogue Ave, Coventry, RI 02816-6116 | 2015-04-02 |
| 1275971400 | Ocean State Urgent Care Center of Cumberland, LLC | Clinic/Center | 2140 Mendon Rd, Cumberland, RI 02864-3843 | 2013-06-10 |
| 1447698675 | Ocean State Urgent Care Center of Smithfield LLC | Clinic/Center | 400 Putnam Pike, Smithfield, RI 02917-2408 | 2013-06-10 |
| 1730420738 | Orthopedic Urgent Care LLC | Clinic/Center | 588 Pawtucket Ave, Pawtucket, RI 02860-6057 | 2013-03-15 |
| 1417207580 | Center of New England Urgent Care Inc | Clinic/Center | 775 Centre of New England Blvd, West Greenwich, RI 02817-6099 | 2012-09-14 |
| Find all providers with the same taxonomy | ||||
| City | EAST PROVIDENCE |
| Zip Code | 02914 |
Please comment or provide details below to improve the information on PRIMARY WALK-IN MEDICAL URGENT CARE LLC.
| 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.