Richard Haas
LIFESPAN PHYSICIAN GROUP INC


Address: 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923
Phone: 4017939172

Richard Haas (NPI# 1376531269, PAC ID# 5799951810) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1376531269
PAC ID by PECOS 5799951810
Professional Enrollment ID I20111220000503
Full Name Richard Haas
Organization Legal Name LIFESPAN PHYSICIAN GROUP INC
Address 593 Eddy St Apc
Suite 6
Providence
RI 02903-4923
Phone Number 4017939172
Gender M
Medical School UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER
Graduation Year 1980
Primary Specialty DIAGNOSTIC RADIOLOGY
Secondary Specialties INTERVENTIONAL RADIOLOGY
Group Practice PAC ID 2567455082
Number of Group Practice Members 600
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
410007 RHODE ISLAND HOSPITAL

Other Locations

Address Phone Organization
1351 S County Trl Rte 2, E Greenwich, RI 02818-5079 4018848125 RHODE ISLAND MEDICAL IMAGING
1 Randall Sq, Providence, RI 02904-2709 4012725500 RHODE ISLAND MEDICAL IMAGING
593 Eddy St Apc, Suite 6, Providence, RI 02903-4923 4017939172 LIFESPAN PHYSICIAN GROUP INC

Organization Information

Organization Legal Name LIFESPAN PHYSICIAN GROUP INC
Physicians 560

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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

Office Location

Street Address 593 EDDY ST APC
SUITE 6
City PROVIDENCE
State RI
Zip 02903-4923

Physicians in the same location

Name Specialty Organization Address
Nicole K Breting Nurse Practitioner University Surgical Associates, Inc. 593 Eddy St Apc, Suite 4, Providence, RI 02903-4923
Iris L Tong Internal Medicine Lifespan Physician Group Inc 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923
Veronica Seippel Nurse Practitioner University Surgical Associates, Inc. 593 Eddy St Apc, Suite 4, Providence, RI 02903-4923
Kathleen Fava Nurse Practitioner Lifespan Physician Group Inc 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923
Kenneth Lynch Nurse Practitioner University Surgical Associates, Inc. 593 Eddy St Apc, Suite 4, Providence, RI 02903-4923
Alexandra Poll Physician Assistant Lifespan Physician Group Inc 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923
Loreen Rose Robbins Nurse Practitioner Lifespan Physician Group Inc 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923
Petra M Klinge Neurosurgery Lifespan Physician Group Inc 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923
Joseph A Wyllie Cardiovascular Disease (cardiology) Lifespan Physician Group Inc 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923
Lindsey R Fuller Physician Assistant Lifespan Physician Group Inc 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923
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Name Specialty Organization Address
Jenny R Donahue Physical Therapy Episcopal Housing Foundation of Rhode Island 289 N Main St, Providence, RI 02903-1223
Paige Elizabeth Caffrey Occupational Therapy Fox Rehab of Ri PC 10 Dorrance St, Suite 700, Providence, RI 02903-2014
Marcy E Bernstein General Surgery Vohra Wound Physicians of Fl LLC 10 Dorrance St, Suite 700, Providence, RI 02903-2014
Sharon Ann Gapasin Qualified Speech Language Pathologist Fox Rehab of Ri PC 10 Dorrance St, Suite 700, Providence, RI 02903-2014
Michael David Bertoncini Physical Therapy Fox Rehab of Ri PC 10 Dorrance St, Suite 700, Providence, RI 02903-2014
Jonathan Sorensen Physical Therapy Fox Rehab of Ri PC 10 Dorrance St, Suite 700, Providence, RI 02903-2014
Ann Marie Rameika Nurse Practitioner Practitioner Support Services LLP 10 Dorrance St, Suite 700, Providence, RI 02903-2014
Amy Beth Ciarniello Physical Therapy Fox Rehab of Ri PC 10 Dorrance St, Suite 700, Providence, RI 02903-2014
Dina Mccamish Physical Therapy Fox Rehab of Ri PC 10 Dorrance St, Suite 700, Providence, RI 02903-2014
Alicia Marie Marshall Occupational Therapy Fox Rehab of Ri PC 10 Dorrance St, Suite 700, Providence, RI 02903-2014
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Competitor

Search similar physicians

City PROVIDENCE
Zip Code 02903
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty PROVIDENCE + DIAGNOSTIC RADIOLOGY

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Dataset Information

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.

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