THE MIRIAM HOSPITAL (NPI# 1902133481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902133481 |
| Entity Type | Organization |
| Organization Name | THE MIRIAM HOSPITAL |
| Other Organization Name | THE MIRIAM HOSPITAL DEPARTMENT OF SURGERY |
| Practice Address |
164 Summit Ave Gilstein Suite/baxt Bldg 1st Floor Providence RI 02906-2853 |
| Mailing Address |
164 Summit Ave 1st Floor Providence RI 02906-2853 |
| Practice Telephone | 4017934612 |
| Mailing Telephone | 4017934612 |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2010-08-04 |
| Authorized Official Name | MISS ANN DANIELS (DIRECTOR OF SURGICAL AFFAIRS) |
| Authorized Official Telephone | 4017934612 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Miriam Hospital Department of Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518482389 | The Miriam Hospital | Clinic/Center | 1454 S County Trl Ste 1100, East Greenwich, RI 02818-1750 | 2017-08-14 |
| 1902027808 | The Miriam Hospital | Clinic/Center | 11 Summit Ave, Providence, RI 02906-2506 | 2007-05-01 |
| 1568567790 | The Miriam Hospital | Nurse Practitioner | 14 Third Street, Providence, RI 02906-2738 | 2006-09-13 |
| 1225073638 | The Miriam Hospital | Clinical Nurse Specialist | 146 W River St Ste 11a, Providence, RI 02904-2609 | 2006-06-19 |
| 1588088850 | The Miriam Hospital | Internal Medicine | 164 Summit Ave, Fain Bldg, Providence, RI 02906-2853 | 2014-02-07 |
| 1740615277 | The Miriam Hospital | General Acute Care Hospital | 164 Summit Ave, Providence, RI 02906-2853 | 2013-09-03 |
| 1669726451 | The Miriam Hospital | Clinic/Center | 164 Summit Ave, 2rd Floor Fain Building, Providence, RI 02906-2853 | 2012-11-01 |
| 1649538323 | The Miriam Hospital | Clinic/Center | 146 W River St, Providence, RI 02904-2609 | 2012-05-01 |
| 1275810434 | The Miriam Hospital | Psychiatry & Neurology | 1125 N Main St, Providence, RI 02904-5739 | 2011-11-15 |
| 1851677470 | The Miriam Hospital | Internal Medicine | 208 Collyer St, Suite 100, Providence, RI 02904-1560 | 2011-10-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | THE MIRIAM HOSPITAL | 164 Summit Ave, Providence, RI 02906-2894 |
| Street Address |
164 SUMMIT AVE GILSTEIN SUITE/BAXT BLDG 1ST FLOOR |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558369512 | Josephine Salhab | Physician Assistant | 164 Summit Ave, Rm C70, Providence, RI 02906-2853 | 2005-07-13 |
| 1619519865 | Sarah Mcnerney | Physician Assistant | 164 Summit Ave, Providence, RI 02906-2853 | 2019-10-09 |
| 1831743095 | Tracy Lynn Carraggi | Nurse Practitioner | 164 Summit Ave, Providence, RI 02906-2853 | 2019-07-26 |
| 1689233975 | Nicole Parascandolo | Nurse Practitioner | 164 Summit Ave, Providence, RI 02906-2894 | 2019-06-10 |
| 1164992558 | Lisha Andrew | Dietitian, Registered | 164 Summit Ave, Providence, RI 02906-2894 | 2018-11-28 |
| 1689156242 | Monique Coley | Physician Assistant | 164 Summit Ave, Providence, RI 02906-2894 | 2018-08-30 |
| 1235615006 | Sameh Mohamed | Internal Medicine | 164 Summit Ave, Providence, RI 02906-2894 | 2018-07-16 |
| 1578058087 | Noor N Safadi | Physician Assistant | 164 Summit Ave, Providence, RI 02906-2853 | 2018-06-27 |
| 1356847172 | Heidi Jimenez | Nurse Practitioner | 164 Summit Ave, Providence, RI 02906 | 2018-04-02 |
| 1831694439 | Laura Canavan | Nurse Practitioner | 164 Summit Ave, Providence, RI 02906 | 2018-03-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1801389713 | Aparna Ashok | Surgery | 2 Dudley St Ste 174, Providence, RI 02905-3246 | 2018-06-14 |
| 1174845606 | Vahey M. Pahigian M.d., Ltd. | Surgery | 323 Angell Street, Providence, RI 02906-3293 | 2010-02-25 |
| 1477885424 | Remo Moomiaie | Surgery | 137 Doyle Ave, Providence, RI 02906-1609 | 2010-02-02 |
| 1962639690 | Rachel Erin Beard | Surgery | 2 Dudley St Ste 370, Providence, RI 02905-3248 | 2009-06-21 |
| 1407019490 | Hannah Alice Bansil | Surgery | 668 Eddy St, Providence, RI 02903-4942 | 2008-07-09 |
| 1487748729 | Christine M. Emmick | Surgery | 100 Highland Ave Ste 308, Providence, RI 02906-2753 | 2006-10-03 |
| 1376589895 | University Surgical Associates, Inc. | Surgery | 2 Dudley St Ste 470, Providence, RI 02905-3248 | 2006-06-22 |
| 1881683985 | Arnold Harvey Herman | Surgery | 528 N Main St, Suite 3, Providence, RI 02904-5762 | 2005-10-20 |
| 1790783744 | Beth Ann Ryder | Surgery | 195 Collyer St, Suite 302, Providence, RI 02904-1869 | 2005-07-13 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
Please comment or provide details below to improve the information on THE MIRIAM HOSPITAL.
| 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.