GWENN MARIA VITTIMBERGA


Address: 1180 Hope St, Bristol, RI 02809-1126
Phone: 4012538900

GWENN MARIA VITTIMBERGA (NPI# 1891796702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891796702
Entity Type Individual
Full Name GWENN MARIA VITTIMBERGA
Credential MD
Practice Address 1180 Hope St
Bristol
RI 02809-1126
Practice Telephone 4012538900
Practice Fax Number 4012541093
Mailing Telephone 4012538900
Mailing Fax Number 4012541093
Enumeration Date 2005-08-02
Last Update Date 2008-01-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology MD 7158 RI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RI 9020074 05
RI UNITED HEALTH CARE 03-00134 01
RI HARVARD PILGRIM HEALTH 401452 01
RI BCHIP 201972 01
RI NEIGHBORHOOD HEALTH 3804 01
RI TUFTS 007158 01
RI B/S 20074-3 01

Office Location

Street Address 1180 HOPE ST
City BRISTOL
State RI
Zip Code 02809-1126

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467453431 Geoffrey Robert Hamilton Internal Medicine 1180 Hope St, Bristol, RI 02809-1126 2005-08-02
1639793441 Andrew Sakovits Optometrist 1180 Hope St, Bristol, RI 02809-1126 2020-06-08
1376049379 Kara E Frade Nurse Practitioner 1180 Hope St, Bristol, RI 02809-1126 2018-03-30
1578924460 Ana Paula Silva Nurse Practitioner 1180 Hope St, Bristol, RI 02809-1126 2016-03-19
1780937474 Alexander Robert Pease Pharmacist 1180 Hope St, Bristol, RI 02809-1126 2012-10-18
1467712349 Sarah M Riedo Internal Medicine 1180 Hope St, Bristol, RI 02809-1126 2012-05-24
1649544610 Nicholas Paul Pelletier Physician Assistant 1180 Hope St, Bristol, RI 02809-1126 2012-03-08
1760769640 John Wescott Massage Therapist 1180 Hope St, Bristol, RI 02809-1126 2011-11-07
1265721054 Reuben Harel Reich Dermatology 1180 Hope St, Bristol, RI 02809-1126 2011-04-01
1518298272 Maria Lola Cevallos Alomia Internal Medicine 1180 Hope St, Bristol, RI 02809-1126 2010-01-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598246068 Maryann Bishop Physical Therapist 7 Creek Lane, Bristol, RI 02809 2018-08-23
1063913127 Melanie Hopper Koppelman Acupuncturist Harbor Integrative Health, LLC, 60 Poppasquash Road, Bristol, RI 02809 2018-02-23
1871011478 Ashley Hayes Pereira Occupational Therapist 31 Duffield Rd, Bristol, RI 02809 2017-09-03
1447792437 Marguerite Peruto Counselor 10 Wardwell Street, Studio #4, Bristol, RI 02809 2016-11-08
1174829873 Meghan Elizabeth Martorana Dietitian, Registered 685 Metacom Avenue, Bristol, RI 02809 2011-01-28
1881909794 Hoffmann Chiropractic Inc Chiropractor 450 Hope Street, Bristol, RI 02809 2010-08-16
1558555961 Michael James Allen Dentist 36 Bradford Street, Bristol, RI 02809 2007-08-29
1033309141 Melinda Mary Allaire Physical Therapist 2 Ruth Ave, Bristol, RI 02809 2007-07-26
1033240726 Emily Snow Delconte Dietitian, Registered 685 Metacom Ave, Bristol, RI 02809 2007-03-07
1881756203 Warren Dental Associates Inc Dentist 634 Main Street, Warren, RI 02809 2006-12-14
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841365681 Glenn Stanton Gart Dermatology 255 North Main Street, Bristol, CT 06010 2006-11-21
1861497620 Tanya Chiarelli Ave'lallemant Dermatology 72 Pine St, Unit 3, Bristol, CT 06010-6960 2005-06-17
1265721054 Reuben Harel Reich Dermatology 1180 Hope St, Bristol, RI 02809-1126 2011-04-01
1871709147 Grace Dolores Bandow Dermatology 1180 Hope St, Bristol, RI 02809-1126 2007-05-15
1962533661 William J. Schermer Pllc Dermatology 3183 W State St, Suite 1102, Bristol, TN 37620-1712 2007-03-07
1467430231 William John Schermer Dermatology 3183 W State St, Suite 1102, Bristol, TN 37620-1712 2006-01-03
1538161161 Medical Associates of Ri Inc Dermatology 1180 Hope St, Bristol, RI 02809-1126 2005-08-12
1568463115 Medical Associates of Rhode Island Inc. Dermatology 1180 Hope St, Bristol, RI 02809-1126 2005-08-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679054043 Carlos G Wambier Dermatology 65 Village Square Dr Ste 201, South Kingstown, RI 02879-2292 2018-08-23
1689153454 Maeve Riane Tobin Dermatology 333 School St Ste 112a, Pawtucket, RI 02860-5336 2018-08-12
1588082200 Julia O. Baltz Dermatology 1672 S County Trl Ste 101, East Greenwich, RI 02818-5099 2014-03-31
1548685985 Agape Medical Spa of Warwick, Inc Dermatology 49 Seekonk St Unit 3, Providence, RI 02906-5176 2014-02-21
1124382023 Scott Hammerman Dermatology 50 Maude St Fl 1, Department of Dermatology and Skin Surgery, Providence, RI 02908-4325 2012-06-26
1356583439 Caroline Chang Dermatology 5586 Post Rd Unit 6, East Greenwich, RI 02818-3454 2009-04-03
1497885719 Louis A Fragola Jr Md Ltd Dermatology 1525 Wampanoag Trail, East Providence, RI 02915 2007-03-06
1215086988 Laura Della Torre Dermatology 1539 Atwood Ave Ste 301, Providence, RI 02919-3262 2007-01-10
1518053271 Nomate Toate Kpea Dermatology 43 Jefferson Boulevard, Suite #2, Warwick, RI 02888 2006-10-04
1457364382 Candace S Lapidus Dermatology 5 Spinnaker Dr, Barrington, RI 02806-2831 2006-08-14
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Competitor

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City BRISTOL
Zip Code 02809

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Dataset Information

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.

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