Michael S Duque (NPI# 1871816488, PAC ID# 5799900056) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1871816488 |
| PAC ID by PECOS | 5799900056 |
| Professional Enrollment ID | I20140701000717 |
| Full Name | Michael S Duque |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Address |
20 Southwest Ave Jamestown RI 02835-1120 |
| Phone Number | 4014232616 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2567455082 |
| Number of Group Practice Members | 600 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| 410006 | NEWPORT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 20 Southwest Ave, Jamestown, RI 02835-1120 | 4014232616 | LIFESPAN PHYSICIAN GROUP INC |
| 50 Memorial Blvd, Newport, RI 02840-3636 | 4016064510 | LIFESPAN PHYSICIAN GROUP INC |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Physicians | 560 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roy Souaid | Internal Medicine | Lifespan Physician Group Inc | 1500 Pontiac Ave, Suite 101, Cranston, RI 02920-4486 |
| Amritpal Singh Jawanda | Family Medicine | Lifespan Physician Group Inc | 639 Metacom Ave, Warren, RI 02885-2348 |
| Alisha Lakhani | Rheumatology | Lifespan Physician Group Inc | 407 E Ave, Suite 250, Pawtucket, RI 02860-5290 |
| Leah R Battista | Obstetrics/gynecology | Lifespan Physician Group Inc | 148 W River St, Suite 1g, Providence, RI 02904-2615 |
| Mahmoud Mowafy | Internal Medicine | Lifespan Physician Group Inc | 164 Summit Ave, Providence, RI 02906-2853 |
| Caroline Sizer | Physical Medicine and Rehabilitation | Lifespan Physician Group Inc | 765 Allens Ave, Suite 110, Providence, RI 02905-5443 |
| Christine Michele Leddy | Psychiatry | Lifespan Physician Group Inc | 11 Friendship St, Newport, RI 02840-2209 |
| Dana Siperstein | Psychiatry | Lifespan Physician Group Inc | 167 Point St, Providence, RI 02903-4771 |
| Brady Geronimo Case | Psychiatry | Lifespan Physician Group Inc | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 |
| Maurice Francis Joyce Iii | Anesthesiology | Lifespan Physician Group Inc | 55 Lambert Lind Hwy, Warwick, RI 02886-1074 |
| Street Address |
20 SOUTHWEST AVE |
| City | JAMESTOWN |
| State | RI |
| Zip | 02835-1120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ralph T Earp | Internal Medicine | Lifespan Physician Group Inc | 20 Southwest Ave, Jamestown, RI 02835-1120 |
| Nancy Jones | Nurse Practitioner | Lifespan Physician Group Inc | 20 Southwest Ave, Jamestown, RI 02835-1120 |
| Halina K Harding | Family Medicine | Lifespan Physician Group Inc | 20 Southwest Ave, Jamestown, RI 02835-1120 |
| Carla M Vaccaro | Family Medicine | Lifespan Physician Group Inc | 20 Southwest Ave, Jamestown, RI 02835-1120 |
| Lauren A Goddard | Family Medicine | Lifespan Physician Group Inc | 20 Southwest Ave, Jamestown, RI 02835-1120 |
| Thomas E Mcgue | Family Medicine | Lifespan Physician Group Inc | 20 Southwest Ave, Jamestown, RI 02835-1120 |
| Stephanie Tuttle Maryeski | Internal Medicine | Lifespan Physician Group Inc | 20 Southwest Ave, Jamestown, RI 02835-1120 |
| Sami Assad | Family Medicine | Lifespan Physician Group Inc | 20 Southwest Ave, Jamestown, RI 02835-1120 |
| Anne Camille A Montes | Family Medicine | Lifespan Physician Group Inc | 20 Southwest Ave, Jamestown, RI 02835-1120 |
| Piamarie Ballarin-feldman | Family Medicine | Lifespan Physician Group Inc | 20 Southwest Ave, Jamestown, RI 02835-1120 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea M Burdon | Nurse Practitioner | Lifespan Physician Group Inc | 20 Southwest Ave, Jamestown, RI 02835-1120 |
| Karen Schaffran | Nurse Practitioner | Lifespan Physician Group Inc | 20 Southwest Ave, Jamestown, RI 02835-1120 |
| Donna L Gavin | Optometry | 15 Buoy St, Jamestown, RI 02835-2414 | |
| Ann S Zartler | Psychologist, Clinical | 30 Juniper Cir, Jamestown, RI 02835-2919 |
| City | JAMESTOWN |
| Zip Code | 02835 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | JAMESTOWN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Michael S Duque.
| 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.