ANGELA TABER (NPI# 1912124454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912124454 |
| Entity Type | Individual |
| Full Name | ANGELA TABER |
| Other Name | ANGELA PLETTE |
| Credential | MD |
| Practice Address |
164 Summit Ave. Providence RI 02906 |
| Mailing Address |
P.o. Box 3915 Boston MA 02241-3915 |
| Practice Telephone | 4017932920 |
| Practice Fax Number | 4017932859 |
| Mailing Telephone | 4017934634 |
| Mailing Fax Number | 4017934639 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2011-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD12200 | RI | Allopathic & Osteopathic Physicians |
| Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
MD12200 | RI | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD12200 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | AP75968 | 05 |
| Street Address |
164 SUMMIT AVE. |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275513442 | Nadeem Anis | Internal Medicine | 164 Summit Ave., Providence, RI 02906 | 2006-01-22 |
| 1558529875 | Kristina W Berglund | Internal Medicine | 164 Summit Ave., Providence, RI 02906 | 2008-05-23 |
| 1306044409 | Syed Naqvi | Internal Medicine | 164 Summit Ave., Providence, RI 02906 | 2007-07-10 |
| 1619192291 | Kyle R. Brownback | Internal Medicine | 164 Summit Ave., Providence, RI 02906 | 2007-04-17 |
| 1124244587 | Deepak Ravindra Pradhan | Internal Medicine | 164 Summit Ave., Providence, RI 02906 | 2007-04-17 |
| 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 | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| 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 |
|---|---|---|---|---|
| 1659598191 | Kimberly Perez | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2007-04-19 |
| 1811916661 | William Sikov | Internal Medicine | 101 Dudley St, Providence, RI 02905-2401 | 2006-07-19 |
| 1275575714 | Wafik El Deiry | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487871927 | Diane Paggioli | Internal Medicine | 85 Kenyon Ave, Wakefield, RI 02879-4213 | 2007-04-19 |
| 1871577999 | Peter B Rintels | Internal Medicine | 1220 Pontiac Ave, Suite 101, Cranston, RI 02920-4456 | 2005-12-01 |
| City | PROVIDENCE |
| Zip Code | 02906 |
Please comment or provide details below to improve the information on ANGELA TABER.
| 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.