DR. JERALD IVAN KUPPERBERG (NPI# 1932267606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932267606 |
| Entity Type | Individual |
| Full Name | DR. JERALD IVAN KUPPERBERG |
| Credential | MD |
| Practice Address |
54 Howard Hill Road Foster RI 02825 |
| Practice Telephone | 4013974638 |
| Practice Fax Number | 4013974638 |
| Mailing Telephone | 4013974638 |
| Mailing Fax Number | 4013974638 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2013-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD05404 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 8604 | 05 | |
| UNITED HEALTH | 1200196 | 01 | |
| AETNA | 5352215 | 01 | |
| TUFTS | 406111 | 01 |
| Street Address |
54 HOWARD HILL ROAD |
| City | FOSTER |
| State | RI |
| Zip Code | 02825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003292921 | Wendy Mumford | Social Worker | 189 Putnam Pike, Foster, RI 02825 | 2015-08-03 |
| 1073644084 | Edmond Stanley Zuromski | Psychologist | 54 Plainfield Pike, Foster, RI 02825-0007 | 2007-03-08 |
| 1952519019 | Lawrence Howard Luppi | Orthopaedic Surgery | 193 Franklin Rd, Foster, RI 02825-1121 | 2007-05-20 |
| 1356667174 | Potterville Fire Department Inc | Ambulance | 953 Tunk Hill Rd, Foster, RI 02825-1162 | 2010-04-19 |
| 1972869428 | Jerald I Kupperberg Md,inc. | Pediatrics | 54 Howard Hill Rd, Foster, RI 02825-1220 | 2012-04-10 |
| 1306322763 | Carol M Mauro | Social Worker | 181 Howard Hill Rd, Foster, RI 02825-1226 | 2018-07-18 |
| 1841325370 | Ricky Wayne Mccullough | Emergency Medicine | 48 Moosup Valley Rd, Foster, RI 02825-1236 | 2007-02-23 |
| 1700135175 | Mary Joanne Chretien | Speech-Language Pathologist | 2 Tray Hollow Rd, Foster, RI 02825-1281 | 2012-08-31 |
| 1093777849 | Nancy Ann Puth | Chiropractor | 96a Foster Center Rd, Foster, RI 02825-1327 | 2006-04-05 |
| 1013046762 | Carol Niederer | Speech-Language Pathologist | 105 S Killingly Rd, Foster, RI 02825-1351 | 2007-03-05 |
| Find all providers in zip 02825 | ||||
| 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 |
|---|---|---|---|---|
| 1972869428 | Jerald I Kupperberg Md,inc. | Pediatrics | 54 Howard Hill Rd, Foster, RI 02825-1220 | 2012-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116214 | Jenks Park Pediatrics, Inc. | Pediatrics | 577 Broad St Fl 1, Central Falls, RI 02863-2837 | 2019-10-28 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1629509112 | Kelly Fitzgerald Cohen | Pediatrics | 900 Warren Ave Ste 200, East Providence, RI 02914-1430 | 2017-03-25 |
| 1992152219 | Liza Cantor | Pediatrics | 300 Centerville Rd # 110, Warwick, RI 02886-0200 | 2016-05-17 |
| 1508264060 | Cecile Ibrahim | Pediatrics | 11 Magazine St, Cranston, RI 02920-8123 | 2014-12-16 |
| 1275949984 | Jessica Brett Farrell | Pediatrics | 285 Governor St Ste 3, Providence, RI 02906 | 2014-07-02 |
| 1447697552 | Michelle Beller | Pediatrics | 334 County Rd, Barrington, RI 02806-2497 | 2013-05-30 |
| 1063765196 | Kathleen Ann Calenda | Pediatrics | 185 Joseph Ct, Warwick, RI 02886 | 2012-10-26 |
| 1154680007 | Yvonne Stuy Weiss | Pediatrics | 23 Nayatt Rd, Barrington, RI 02806-3317 | 2012-05-14 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| Find all providers with the same taxonomy | ||||
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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.