UNIVERSITY PEDIATRICS, INC (NPI# 1932117702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932117702 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY PEDIATRICS, INC |
| Other Organization Name | CHILDREN'S MEDICAL GROUP |
| Practice Address |
100 Highland Ave Suite 201 Providence RI 02906-2740 |
| Practice Telephone | 4016331100 |
| Practice Fax Number | 4016330047 |
| Mailing Telephone | 4016331100 |
| Mailing Fax Number | 4016330047 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2014-03-27 |
| Authorized Official Name | ROBERT E EDEN (OWNER) |
| Authorized Official Telephone | 4016331100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | UP29391 | 05 |
| Other Name | Type Code |
|---|---|
| Children's Medical Group | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | UNIVERSITY PEDIATRICS, INC. (MERGED OUT) | One South Prospect St., Burlington, VT 05401 |
| Street Address |
100 HIGHLAND AVE SUITE 201 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-2740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670044 | Elizabeth L Altenhein | Surgery | 100 Highland Ave, Ste 308, Providence, RI 02906-2740 | 2005-06-21 |
| 1902292899 | University Pediatrics Dba Children's Medical Group | Nurse Practitioner | 100 Highland Ave, Suite 201, Providence, RI 02906-2740 | 2015-04-08 |
| 1063817963 | Stephanie Sachs | Massage Therapist | 100 Highland Ave, Suite 102, Providence, RI 02906-2740 | 2014-11-04 |
| 1972916229 | Community Health and Immunization Services | Community Health Worker | 100 Highland Ave, Suite 303, Providence, RI 02906-2753 | 2014-06-04 |
| 1851721740 | Passport Health Holdings LLC | Clinic/Center | 100 Highland Ave, Suite 303, Providence, RI 02906-2753 | 2013-11-14 |
| 1306274584 | Brianna Leigh Boulanger | Massage Therapist | 100 Highland Ave, Suite 102, Providence, RI 02906 | 2013-10-24 |
| 1306123476 | Providence Interventional Associates II LLC | Internal Medicine | 100 Highland Ave, Providence, RI 02906-2740 | 2011-11-03 |
| 1912207887 | Providence Interventional Associates LLC | Clinic/Center | 100 Highland Ave, Providence, RI 02906-2740 | 2010-10-26 |
| 1942528658 | Margaret M Dyer | Pediatrics | 100 Highland Ave, Providence, RI 02906-2740 | 2010-05-06 |
| 1043447097 | Vorawan Ummaritchot | Internal Medicine | 100 Highland Ave, Suite 203, Providence, RI 02906-2740 | 2009-06-17 |
| Find all providers in the same location | ||||
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1275949984 | Jessica Brett Farrell | Pediatrics | 285 Governor St Ste 3, Providence, RI 02906 | 2014-07-02 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1467755637 | Zaid Alhinai | Pediatrics | 117 Wyndham Ave, Providence, RI 02908-3511 | 2010-12-10 |
| 1811222300 | Daniella Teape | Pediatrics | 593 Eddy St Rm 319, Providence, RI 02903-4923 | 2009-10-16 |
| 1609061175 | Drs Lampal and Montgomery | Pediatrics | 207 Waterman St, Providence, RI 02906-4381 | 2007-09-07 |
| 1174738967 | Colette S. Vieau | Pediatrics | 95 Pitman St Ste 2200, Providence, RI 02906-4311 | 2007-05-14 |
| 1538385760 | Monica Joan Schaberg | Pediatrics | 58 Irving Ave, Providence, RI 02906-4141 | 2007-04-17 |
| 1700916236 | Suzanne B Craig | Pediatrics | Blue Cross & Blue Shield of Ri, 444 Westminsterstreet, Providence, RI 02903 | 2007-03-06 |
| 1679649297 | Kelvin D Gillman | Pediatrics | 845 North Main Street, Ste #7, Providence, RI 02904 | 2006-11-27 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
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| 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.