GHADA BOURJEILY (NPI# 1881613057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881613057 |
| Entity Type | Individual |
| Full Name | GHADA BOURJEILY |
| Credential | MD |
| Practice Address |
146 West River Street 3rd Floor Providence RI 02904 |
| Mailing Address |
117 Ellenfield St Ste 101 Providence RI 02905-4513 |
| Practice Telephone | 4017935700 |
| Practice Fax Number | 4017937801 |
| Mailing Telephone | 4014446779 |
| Mailing Fax Number | 4014446912 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD10469 | RI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 593 Eddy St, Providence, RI 029034923 | 4017935700 | 4017937801 |
| Street Address |
146 WEST RIVER STREET 3RD FLOOR |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033150586 | Iris L Tong | Internal Medicine | 146 West River Street, 3rd Floor, Providence, RI 02904 | 2006-06-08 |
| 1205282522 | Kerri Keselowsky | Obstetrics & Gynecology | 146 West River Street, Suite 11c, Providence, RI 02904 | 2016-05-05 |
| 1396109146 | Tabassum Firoz | Internal Medicine | 146 West River Street, Suite 11d, Providence, RI 02905 | 2016-04-07 |
| 1376820928 | Courtney Lyn Mccarthy | Social Worker | 146 West River Street, 3rd Floor, Providence, RI 02904 | 2011-11-10 |
| 1013109891 | Courtney Clark Bilodeau | Internal Medicine | 146 West River Street, 3rd Floor, Providence, RI 02904 | 2007-08-15 |
| 1235359142 | Marisa Vanpoznak | Internal Medicine | 146 West River Street, 3rd Floor, Providence, RI 02904 | 2007-04-26 |
| 1972669190 | Pamela Kramer | Social Worker | 146 West River Street, 3rd Floor, Providence, RI 02904 | 2006-12-29 |
| 1770683013 | William Scott Walker | Obstetrics & Gynecology | 146 West River Street, Suite 11c, Providence, RI 02904 | 2006-09-25 |
| 1548360886 | Suzanne Dambek | Obstetrics & Gynecology | 146 West River Street, Suite 11c, Providence, RI 02904 | 2006-09-25 |
| 1760580864 | Carla Ferrari Ibelle | Social Worker | 146 West River Street, Providence, RI 02905 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366896912 | Michael Simon | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2016-04-20 |
| 1811257850 | James Ferguson | Internal Medicine | 593 Eddy St, Apc7, Providence, RI 02903-4923 | 2012-05-24 |
| 1710244157 | Roger Williams Medical Center | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2012-04-23 |
| 1801160668 | Samia Ayub | Internal Medicine | 164 Summit Ave, Providence, RI 02906-2853 | 2012-02-26 |
| 1154524643 | Rabih El-bizri | Internal Medicine | 50 Maude St, Providence, RI 02908-4325 | 2007-06-11 |
| 1124244587 | Deepak Ravindra Pradhan | Internal Medicine | 164 Summit Ave., Providence, RI 02906 | 2007-04-17 |
| 1689718090 | Matthew Dmitri Jankowich | Internal Medicine | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2007-02-18 |
| 1982639209 | Linda Nici | Internal Medicine | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2006-07-12 |
| 1972556066 | Joseph Vincent Meharg | Internal Medicine | 50 Maude St, Providence, RI 02908-4325 | 2006-05-18 |
| 1083665905 | Michael Anthony Passero | Internal Medicine | 50 Maude St, Providence, RI 02908-4325 | 2006-05-15 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02904 |
Please comment or provide details below to improve the information on GHADA BOURJEILY.
| 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.