Richard Tumidajski (NPI# 1710964721, PAC ID# 4183623697) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
| Nation Provider ID (NPI) | 1710964721 |
| PAC ID by PECOS | 4183623697 |
| Professional Enrollment ID | I20061211000566 |
| Full Name | Richard Tumidajski |
| Organization Legal Name | NARRAGANSETT BAY ANESTHESIA, LLC |
| Address |
1526 Atwood Ave Johnston RI 02919-3289 |
| Phone Number | 4014593800 |
| Gender | M |
| Graduation Year | 1974 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| Group Practice PAC ID | 5991774929 |
| Number of Group Practice Members | 100 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410009 | KENT COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1526 Atwood Ave, Johnston, RI 02919-3289 | 4014593800 | NARRAGANSETT BAY ANESTHESIA, LLC |
| 1526 Atwood Ave, Suite 300, Johnston, RI 02919-3289 | 4014593800 | NARRAGANSETT BAY ANESTHESIA, LLC |
| Organization Legal Name | NARRAGANSETT BAY ANESTHESIA, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paula S Mckenna | Certified Registered Nurse Anesthetist | Narragansett Bay Anesthesia, LLC | 44 W Riverfloor St 1st Fl, Providence, RI 02904-2609 |
| Susan K Demicco | Certified Registered Nurse Anesthetist | Narragansett Bay Anesthesia, LLC | 44 W Riverfloor St 1st Fl, Providence, RI 02904-2609 |
| Katie Mary Liberty | Certified Registered Nurse Anesthetist | Narragansett Bay Anesthesia, LLC | 44 W Riverfloor St 1st Fl, Providence, RI 02904-2609 |
| Street Address |
1526 ATWOOD AVE |
| City | JOHNSTON |
| State | RI |
| Zip | 02919-3289 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna R Smith | Certified Registered Nurse Anesthetist (crna) | Narragansett Bay Anesthesia LLC | 1526 Atwood Ave, Suite 300, Johnston, RI 02919-3289 |
| Marc S. Andreani-fabroni | Anesthesiology | Narragansett Bay Anesthesia LLC | 1526 Atwood Ave, Suite 300, Johnston, RI 02919-3289 |
| Jared R Matteson | Certified Registered Nurse Anesthetist (crna) | Narragansett Bay Anesthesia LLC | 1526 Atwood Ave, Suite 300, Johnston, RI 02919-3289 |
| Sharyn Zibrida | Certified Registered Nurse Anesthetist (crna) | Narragansett Bay Anesthesia LLC | 1526 Atwood Ave, Suite 300, Johnston, RI 02919-3289 |
| Cynthia M Bailey | Certified Registered Nurse Anesthetist (crna) | Narragansett Bay Anesthesia LLC | 1526 Atwood Ave, Suite 300, Johnston, RI 02919-3289 |
| David M Lareau | Anesthesiology | Narragansett Bay Anesthesia LLC | 1526 Atwood Ave, Suite 300, Johnston, RI 02919-3289 |
| Thomas E Purcell | Anesthesiology | Narragansett Bay Anesthesia LLC | 1526 Atwood Ave, Suite 300, Johnston, RI 02919-3289 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent F Vacca | Gastroenterology | Physician Onsite Inc | 2 Cherry Hill Rd, Johnston, RI 02919-2687 |
| Joseph F Clifford Iii | Clinical Social Worker | Gateway Healthcare Inc | 1443 Hartford Ave, Johnston, RI 02919-3224 |
| Charita Althenor | Clinical Social Worker | Gateway Healthcare Inc | 1443 Hartford Ave, Johnston, RI 02919-3224 |
| Amy Beth G Mccarthy | Clinical Social Worker | Gateway Healthcare Inc | 1443 Hartford Ave, Johnston, RI 02919-3224 |
| Richard P Whalen | Psychiatry | Gateway Healthcare Inc | 1443 Hartford Ave, Johnston, RI 02919-3224 |
| Sajid M Choudhry | Psychiatry | Gateway Healthcare Inc | 1443 Hartford Ave, Johnston, RI 02919-3224 |
| Nicholas J Gelormini | Psychiatry | Gateway Healthcare Inc | 1443 Hartford Ave, Johnston, RI 02919-3224 |
| Elena Almonte | Clinical Social Worker | Gateway Healthcare Inc | 1443 Hartford Ave, Johnston, RI 02919-3224 |
| Richard Housner | Clinical Social Worker | Gateway Healthcare Inc | 1443 Hartford Ave, Johnston, RI 02919-3224 |
| Nancy Ragosta Mazza | Optometry | 1500 Atwood Ave, Suite 9, Johnston, RI 02919-3227 | |
| Find all physicians in zip 02919 | |||
| City | JOHNSTON |
| Zip Code | 02919 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| City + Specialty | JOHNSTON + CERTIFIED REGISTERED NURSE ANESTHETIST |
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| 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.