Ian P Krouson (NPI# 1790744381, PAC ID# 1557328390) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1790744381 |
| PAC ID by PECOS | 1557328390 |
| Professional Enrollment ID | I20071217000486 |
| Full Name | Ian P Krouson |
| Organization Legal Name | EAST SIDE URGENT CARE LLC |
| Address |
1195 N Main St Providence RI 02904-1824 |
| Phone Number | 4018613782 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1998 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9537239660 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1195 N Main St, Providence, RI 02904-1824 | 4018613782 | EAST SIDE URGENT CARE LLC |
| Organization Legal Name | EAST SIDE URGENT CARE LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheik Amat Tijan Faye | Physician Assistant | East Side Urgent Care LLC | 1195 N Main St, Providence, RI 02904-1824 |
| Carolyn K Mcgrath | Emergency Medicine | East Side Urgent Care LLC | 1195 N Main St, Providence, RI 02904-1824 |
| Street Address |
1195 N MAIN ST |
| City | PROVIDENCE |
| State | RI |
| Zip | 02904-1824 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank M Dalessandro | Internal Medicine | Frank Michael D'alessandro Md Inc | 1195 N Main St, Providence, RI 02904-1824 |
| Sheik Amat Tijan Faye | Physician Assistant | East Side Urgent Care LLC | 1195 N Main St, Providence, RI 02904-1824 |
| Daniel N Valicenti | Internal Medicine | East Side Primary Care Providence LLC | 1195 N Main St, Fl 2, Providence, RI 02904-1824 |
| Carolyn K Mcgrath | Emergency Medicine | East Side Urgent Care LLC | 1195 N Main St, Providence, RI 02904-1824 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert B Patterson | Vascular Surgery | 486 Silver Spring St, Providence, RI 02904-1556 | |
| Nishit Shah | Colorectal Surgery (proctology) | University Surgical Associates, Inc. | 208 Collyer St, Suite 302, Providence, RI 02904-1560 |
| Laurel A Gay | Physician Assistant | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Adam Klipfel | Colorectal Surgery (proctology) | University Surgical Associates, Inc. | 208 Collyer St, Suite 302, Providence, RI 02904-1560 |
| Fredric V Christian | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Roger D Raymond | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Michelle Kristen Finkelman | Nurse Practitioner | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Olivia Macaskill | Nurse Practitioner | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Susan P Emaus | Physician Assistant | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Kenneth S Korr | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Providence, RI 02904-1560 |
| Find all physicians in zip 02904 | |||
| City | PROVIDENCE |
| Zip Code | 02904 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PROVIDENCE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Ian P Krouson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.