PAUL GEORGE (NPI# 1790898328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790898328 |
| Entity Type | Individual |
| Full Name | PAUL GEORGE |
| Credential | MD |
| Practice Address |
111 Brewster Street Fcc Team C Pawtucket RI 02860 |
| Practice Telephone | 4017292769 |
| Practice Fax Number | 4017292772 |
| Mailing Telephone | 4017292769 |
| Mailing Fax Number | 4017292772 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2010-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD12630 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | MEDICARE PTAN | 000701803 | 01 |
| RI | PG72804 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679032064 | Paul Darius George | Student in an Organized Health Care Education/Training Program | 801 Massachusetts Ave Fl 6, Boston, MA 02118 | 2019-03-15 |
| 1508089327 | Paul M George | Optometrist | Route 5 & 5a Sangertown Square, New Hartford, NY 13413 | 2007-04-10 |
| 1891861662 | Paul W George | Social Worker | 1125 W Center St, Orem, UT 84057-5207 | 2006-11-25 |
| 1730540667 | Paul George | Pediatrics | 201 Dowman Dr Ne, Atlanta, GA 30322-2358 | 2016-03-20 |
| 1245487941 | Paul Matthew George | Psychiatry & Neurology | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2008-08-25 |
| 1093877094 | Paul N George | Social Worker | 6284 Rucker Rd, Ste N, Indianapolis, IN 46220-4851 | 2006-12-15 |
| 1386714699 | Paul William George | Dentist | 330 Livingston Ave, New Brunswick, NJ 08901-3469 | 2006-11-08 |
| Street Address |
111 BREWSTER STREET FCC TEAM C |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854797 | Alice Yang-hee Kim | Internal Medicine | 111 Brewster Street, Pawtucket, RI 02860-4400 | 2005-07-11 |
| 1063939007 | Abraham Walusimbi | Internal Medicine | 111 Brewster Street, Pawtucket, RI 02860 | 2017-08-29 |
| 1265952576 | Ali Alkhayat | Internal Medicine | 111 Brewster Street, Pawtucket, RI 02860 | 2017-06-27 |
| 1740700780 | Melissa Ochoa-trochez | Family Medicine | 111 Brewster Street, Fcc B, Pawtucket, RI 02860 | 2017-06-21 |
| 1063883270 | Jennifer Derossi-dacosta | Registered Nurse | 111 Brewster Street, Cnemg Primary Care and Specialty Services, Pawtucket, RI 02860-4474 | 2015-10-14 |
| 1528368354 | Bethany S Snow | Physician Assistant | 111 Brewster Street, Pawtucket, RI 02860-4400 | 2010-10-27 |
| 1720260805 | Laura Lynnette Frakey | Clinical Neuropsychologist | 111 Brewster Street, Pawtucket, RI 02860-4400 | 2007-11-30 |
| 1740483742 | Linda Coren Hanley | Pathology | 111 Brewster Street, Department of Pathology, Pawtucket, RI 02860-4400 | 2007-06-07 |
| 1518176874 | Memorial Hospital | Family Medicine | 111 Brewster Street, Pawtucket, RI 02860 | 2007-05-22 |
| 1396954640 | Memorial Hospital | Family Medicine | 111 Brewster Street, Memorial Hospital of Rhode Island, Pawtucket, RI 02860 | 2007-05-22 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750930103 | Integrated Psychological Services | Family Medicine | 333 School St Ste 109, Pawtucket, RI 02860-5335 | 2019-09-09 |
| 1417417734 | Danielle Turnquest | Family Medicine | 111 Brewster St Bldg 3, Pawtucket, RI 02860-4474 | 2019-03-22 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 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 |
| 1093120388 | Nelson Mendes | Family Medicine | 381 Pawtucket Ave, Pawtucket, RI 02860-5145 | 2014-06-25 |
| 1316187941 | Powers Family Health | Family Medicine | 174 Armistice Blvd Ste A1, Pawtucket, RI 02860-3269 | 2009-02-23 |
| 1376700039 | Suryadutt Venkat | Family Medicine | 126 Prospect St Ste 202, Pawtucket, RI 02860 | 2008-05-20 |
| 1154501708 | Donya A Powers Md | Family Medicine | 174 Armistice Blvd Ste 1a, Pawtucket, RI 02860-3269 | 2007-11-13 |
| 1386757656 | Cristina Pacheco | Family Medicine | 39 East Ave, Pawtucket, RI 02860-4003 | 2006-08-17 |
| Find all providers in PAWTUCKET | ||||
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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.