INTEGRATED WOUND CARE RHODE ISLAND PLLC (NPI# 1871063891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871063891 |
| Entity Type | Organization |
| Organization Name | INTEGRATED WOUND CARE RHODE ISLAND PLLC |
| Practice Address |
50 Maude St Providence RI 02908-4325 |
| Mailing Address |
492c Cedar Ln Ste 514 Teaneck NJ 07666-1713 |
| Practice Telephone | 7324514318 |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2019-03-28 |
| Authorized Official Name | DR. DIANE LUSAS (MEMBER) |
| Authorized Official Telephone | 7324514318 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
50 MAUDE ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02908-4325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013901248 | Daniel N Valicenti | Internal Medicine | 50 Maude St, 4th Floor, Providence, RI 02908-4325 | 2005-09-02 |
| 1811402100 | Prospect Chartercare Home Health and Hospice, LLC | Registered Nurse | 50 Maude St, Providence, RI 02908-4325 | 2017-12-07 |
| 1871947093 | Samantha Mossman | Dietitian, Registered | 50 Maude St, Roger Willaims Oncology Center, Providence, RI 02908-4325 | 2016-04-14 |
| 1841679503 | Rui Cheng | Dermatology | 50 Maude St, Providence, RI 02908-4325 | 2015-05-27 |
| 1437544111 | Prospect Chartercare Physicians LLC | Clinic/Center | 50 Maude St, Providence, RI 02908-4325 | 2015-03-31 |
| 1083012173 | New University Medical Group LLC | Internal Medicine | 50 Maude St, Providence, RI 02908-4325 | 2014-12-05 |
| 1912322918 | Prospect Chartercare Rwmc, LLC | Home Health | 50 Maude St, Providence, RI 02908-4325 | 2014-02-27 |
| 1457776452 | Prospect Chartercare Elmhurst, LLC | Skilled Nursing Facility | 50 Maude St, Providence, RI 02908-4325 | 2014-02-27 |
| 1942634407 | Shareen Holly | Psychologist | 50 Maude St, Elmhurst Extended Bldg, 5th Fl, Providence, RI 02908-4325 | 2013-09-02 |
| 1568707735 | Charlene Beth Botelho | Occupational Therapy Assistant | 50 Maude St, Providence, RI 02908-4325 | 2012-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771900 | Horizon Wellness | Clinic/Center | 1339 Smith St, North Providence, RI 02908 | 2017-10-12 |
| 1477098069 | Beth Perry | Nurse Practitioner | 830 Chalstone Ave., Providence, RI 02908 | 2017-01-05 |
| 1659788735 | Brandi Kimble | Podiatrist | 825 Chalkstone Avenue, Providence, RI 02908 | 2014-07-21 |
| 1912253675 | Roger Williams Medical Center | Long Term Care Hospital | 25 Chalkstone Ave, Providence, RI 02908 | 2012-07-31 |
| 1669768818 | Elisa Semedo | Physical Therapist | 285 Promenade Street, Providence, RI 02908 | 2011-06-27 |
| 1255655502 | Caregiver Homes of Rhode Island Inc. | Custodial Care Facility | 235 Promenade Street, Providence, RI 02908 | 2010-03-16 |
| 1487884987 | Professional Ambulance LLC | Ambulance | 52 River Ave, Providence, RI 02908 | 2009-07-17 |
| 1609065804 | Stephen W Davis | Family Medicine | 299 Promenade Street, Nhpri, Providence, RI 02908 | 2007-10-24 |
| 1205053899 | John R Ricci | Dentist | 1252 Smith St, Providence, RI 02908 | 2007-04-18 |
| 1871718718 | Brett C Auclaire | Nurse Practitioner | 40 Candace Street, Providence, RI 02908 | 2007-04-16 |
| Find all providers in zip 02908 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326434440 | Upward Health National LLC | General Practice | 188 Valley St Ste 201, Providence, RI 02909-2468 | 2015-04-15 |
| 1306188909 | Albert Edward Dahlberg | General Practice | 185 Meeting St, Room L-254, Sfh, Brown University, Providence, RI 02912-0001 | 2013-03-21 |
| 1417982604 | Richard Lewis Rosol | General Practice | 226 Atwells Ave, Providence, RI 02903-1528 | 2006-07-12 |
| 1891322848 | Upward Health of Rhode Island PC | General Practice | 188 Valley St Ste 201, Providence, RI 02909-2468 | 2020-03-26 |
| 1548803729 | Landmark Medical of Rhode Island PC | General Practice | 150 Chestnut St, Providence, RI 02903-4645 | 2019-10-21 |
| 1558367987 | Jorge Eusebio Albina | General Practice | 593 Eddy St, Nab 2, Providence, RI 02903-4923 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770001356 | Donald Russell Haggerty | General Practice | 246 Island Dr, Middletown, RI 02842-7509 | 2017-09-05 |
| 1528346731 | Thomas E. Mccay | General Practice | 1051 Ten Rod Rd Unit B-210, North Kingstown, RI 02852-4163 | 2011-07-22 |
| 1104134154 | Dr. Ghazi Accaoui, M.d. Inc. | General Practice | 124 Broad Street., Pawtucket, RI 02860-2052 | 2010-09-23 |
| 1912237686 | Ralph Patrick Miech | General Practice | 50 Woodcrest Dr, Riverside, RI 02915-1819 | 2010-01-02 |
| 1457588543 | Thomas James Martin | General Practice | 56 Rice St., Pawwtucket, RI 02861-1530 | 2009-06-16 |
| 1316181316 | Simon Melnick Do, Ltd | General Practice | 1050 Main St Unit 8, East Greenwich, RI 02818-3162 | 2009-04-22 |
| 1205096153 | Sheila Steiner | General Practice | 27 Carousel Drive, Riverside, RI 02915 | 2008-06-13 |
| 1679651012 | Jesus Bernal Valdepenas | General Practice | 2447 Pawtucket Avenue, East Providence, RI 02914 | 2006-11-02 |
| 1902812480 | Donald A Nadeau | General Practice | 1312 Oaklaw Ave, Midland Medical, Cranston, RI 02920 | 2006-08-01 |
| 1689688210 | Joseph Blumen | General Practice | 23 Powel Ave, Newport, RI 02840-2616 | 2006-07-28 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 02908 |
Please comment or provide details below to improve the information on INTEGRATED WOUND CARE RHODE ISLAND PLLC.
| 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.