JONATHAN RICHARD SCHILLER (NPI# 1790808020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790808020 |
| Entity Type | Individual |
| Full Name | JONATHAN RICHARD SCHILLER |
| Credential | MD |
| Practice Address |
2 Dudley St Providence RI 02905-3236 |
| Practice Telephone | 4014572106 |
| Practice Fax Number | 4018318951 |
| Mailing Telephone | 4014572106 |
| Mailing Fax Number | 4018318951 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2011-09-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
12636 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | RI LICENSE | LP 00166 | 01 |
| RI | RI FULL MEDICAL LICENSE | 12636 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700044799 | Jonathan Andrew Schiller | Emergency Medicine | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2008-05-28 |
| 1831206283 | Jonathan Bayer Schiller | Physical Therapist | 4801 Dorsey Hall Dr, Suite 130, Ellicott City, MD 21042-7766 | 2006-08-23 |
| Street Address |
2 DUDLEY ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356343651 | Northeast Orthotics and Prosthetics Inc | Prosthetic/Orthotic Supplier | 2 Dudley St, Ste 161, Providence, RI 02905-3236 | 2005-06-01 |
| 1366935231 | Christy Gandhi | Obstetrics & Gynecology | 2 Dudley St, Providence, RI 02905-3236 | 2018-06-14 |
| 1295274215 | Nora Kinslow | Occupational Therapist | 2 Dudley St, Suite 200, Providence, RI 02905-3236 | 2017-02-23 |
| 1578008082 | Laura Nelson | Occupational Therapist | 2 Dudley St, Suite 200, Providence, RI 02905-3236 | 2016-12-20 |
| 1619328127 | Bryan Jon Berlin | Physician Assistant | 2 Dudley St, Suite 200, Providence, RI 02905-3236 | 2016-06-27 |
| 1245600238 | Kristin Wedel | Social Worker | 2 Dudley St, Providence, RI 02905-3236 | 2015-10-02 |
| 1497155378 | Michael Platz | Occupational Therapist | 2 Dudley St, Ste 200, Providence, RI 02905-3236 | 2014-08-28 |
| 1164831160 | Nicholas Bruno | Physical Therapist | 2 Dudley St, Suite 200, Providence, RI 02905-3236 | 2014-08-05 |
| 1619389160 | Laurie J Deruosi | Nurse Practitioner | 2 Dudley St, Suite G 85, Providence, RI 02905-3236 | 2014-06-02 |
| 1851729511 | Rhode Island Hospital | Surgery | 2 Dudley St, Suite 180, Providence, RI 02905-3236 | 2013-10-16 |
| 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 | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861605354 | East Side Orthopaedics, Inc | Orthopaedic Surgery | 124 Waterman St, 2nd Floor, Providence, RI 02906-2052 | 2007-05-08 |
| 1558574343 | The Orthopaedic Institute | Orthopaedic Surgery | 955 Chalkstone Ave, Providence, RI 02908-4220 | 2007-05-08 |
| City | PROVIDENCE |
| Zip Code | 02905 |
Please comment or provide details below to improve the information on JONATHAN RICHARD SCHILLER.
| 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.