King W To (NPI# 1174670806, PAC ID# 3173658770) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1174670806 |
| PAC ID by PECOS | 3173658770 |
| Professional Enrollment ID | I20100322000610 |
| Full Name | King W To |
| Address |
78 Baker St Providence RI 02905-4417 |
| Phone Number | 4018314592 |
| Gender | M |
| Medical School | BROWN UNIVERSITY PROGRAM IN MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | OPHTHALMOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410007 | RHODE ISLAND HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 78 Baker St, Providence, RI 02905-4417 | 4018314592 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% |
| Street Address |
78 BAKER ST |
| City | PROVIDENCE |
| State | RI |
| Zip | 02905-4417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Josephine Barnds Brown | Physician Assistant | Coastal Medical Inc | 78 Baker St, Providence, RI 02905-4417 |
| Joseph F Ducharme | Ophthalmology | 78 Baker St, Providence, RI 02905-4417 | |
| William G Tsiaras | Ophthalmology | 78 Baker St, Providence, RI 02905-4417 | |
| Amy Goldfarb | Internal Medicine | Coastal Medical Inc | 78 Baker St, Providence, RI 02905-4417 |
| Rinchen-tz Emgushov | Internal Medicine | Coastal Medical Inc | 78 Baker St, Providence, RI 02905-4417 |
| Paula E Hughes | Physician Assistant | Coastal Medical Inc | 78 Baker St, Providence, RI 02905-4417 |
| Molly Judith Gile | Physician Assistant | Coastal Medical Inc | 78 Baker St, Providence, RI 02905-4417 |
| Stephanie Maire Nunes | Nurse Practitioner | Coastal Medical Inc | 78 Baker St, Providence, RI 02905-4417 |
| Jacquelyn E Cotton | Internal Medicine | Coastal Medical Inc | 78 Baker St, Providence, RI 02905-4417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clarissa D. Lewis | Optometry | The Providence Community Health Centers Inc. | 335 Prairie Ave, Fl 2, Providence, RI 02905-1924 |
| Angel M. Eads | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Sandrine O Guilherme | Clinical Social Worker | The Providence Center Inc | 355 Prairie Ave, Providence, RI 02905-1928 |
| Katherine Williams | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Luis A Ferreira | Clinical Social Worker | The Providence Center Inc | 355 Prairie Ave, Providence, RI 02905-1928 |
| Andrew Saal | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Lauren E Stewart | Obstetrics/gynecology | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Tenesha R Lisbon | Nurse Practitioner | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Elaine K Parker Williams | Nurse Practitioner | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Carla Martin | Internal Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Find all physicians in zip 02905 | |||
| City | PROVIDENCE |
| Zip Code | 02905 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | PROVIDENCE + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on King W To.
| 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.