DR. SETH FEDER (NPI# 1790780336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790780336 |
| Entity Type | Individual |
| Full Name | DR. SETH FEDER |
| Credential | M.D. |
| Practice Address |
989 Reservoir Ave Cranston RI 02910-5138 |
| Practice Telephone | 4019429005 |
| Practice Fax Number | 4014648664 |
| Mailing Telephone | 4019429005 |
| Mailing Fax Number | 4014648664 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2013-06-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
5805 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 9001000 | 05 | |
| RI | BLUE CHIP | 000765 | 01 |
| RI | BLUE CROSS | 1000 | 01 |
| Street Address |
989 RESERVOIR AVE |
| City | CRANSTON |
| State | RI |
| Zip Code | 02910-5138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271565 | Gillian Leahy Cooperstein | Nurse Practitioner | 989 Reservoir Ave, Cranston, RI 02910-5138 | 2020-07-06 |
| 1922340314 | Liansheng Liu | Acupuncturist | 989 Reservoir Ave, Suite 103, Cranston, RI 02910-5138 | 2013-03-23 |
| 1427294321 | Cranston Cosmetic Dentistry, Inc. | Dentist | 989 Reservoir Ave, Cranston, RI 02910-5138 | 2008-12-23 |
| 1053561621 | Tracey Julia Neri | Social Worker | 989 Reservoir Ave, Cranston, RI 02910-5138 | 2008-09-19 |
| 1386812816 | Associates In Oral and Maxillofacial Surgery, Ltd. | Dentist | 989 Reservoir Ave, Cranston, RI 02910-5138 | 2008-02-19 |
| 1043417843 | Sara L Carnevale Fearon | Audiologist | 989 Reservoir Ave, Suite 203, Cranston, RI 02910-5138 | 2007-06-27 |
| 1285838102 | Elizabeth Engelhorn | Counselor | 989 Reservoir Ave, Cranston, RI 02910-5138 | 2007-06-13 |
| 1689887549 | Susan Wright | Counselor | 989 Reservoir Ave, Cranston, RI 02910-5138 | 2007-05-08 |
| 1831219443 | Les R Prasad | Dentist | 989 Reservoir Ave, Cranston, RI 02910-5138 | 2007-03-29 |
| 1649371741 | Gina Breggia Pine | Social Worker | 989 Reservoir Ave, Box 9, Cranston, RI 02910-5138 | 2006-09-25 |
| Find all providers in the same location | ||||
| 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 | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710089297 | Robert Thomas Leonard Jr. | Dermatology | 922 Reservoir Ave, Cranston, RI 02910-4417 | 2006-09-04 |
| 1053306423 | Ellen Henrie Frankel | Dermatology | 750 Reservoir Ave, Cranston, RI 02910-4423 | 2005-09-13 |
Please comment or provide details below to improve the information on DR. SETH FEDER.
| 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.