Deanna Wall (NPI# 1114963022, PAC ID# 5890723035) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1114963022 |
| PAC ID by PECOS | 5890723035 |
| Professional Enrollment ID | I20150630001691 |
| Full Name | Deanna Wall |
| Organization Legal Name | COASTAL MEDICAL INC |
| Address |
41 Sanderson Rd Suite 205 Smithfield RI 02917-2603 |
| Phone Number | 4013490366 |
| Gender | F |
| Credential | PA |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8426961004 |
| Number of Group Practice Members | 109 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 41 Sanderson Rd, Suite 205, Smithfield, RI 02917-2603 | 4013490366 | COASTAL MEDICAL INC |
| Organization Legal Name | COASTAL MEDICAL INC |
| Physicians | 125 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas Ryan Chasse | Nurse Practitioner | Coastal Medical Inc | 6 Blackstone Valley Pl, Suite 701, Lincoln, RI 02865-1170 |
| Karen Kawa | Nurse Practitioner | Coastal Medical Inc | 900 Warren Ave, Suite 400, East Providence, RI 02914-1430 |
| Penny Mclean-nowinski | Nurse Practitioner | Coastal Medical Inc | 1445 Wampanoag Trl, Suite 205, Riverside, RI 02915-1019 |
| Kathleen Salisbury | Physician Assistant | Coastal Medical Inc | 75 Sockanosset Xrd, Suite 100, Cranston, RI 02920 |
| Matthew J Franco | Cardiovascular Disease (cardiology) | Coastal Medical Inc | 1351 S County Trl, Suite 115, East Greenwich, RI 02818-5079 |
| Romi A Webster | Pediatric Medicine | Coastal Medical Inc | 300 Centerville Rd, Warwick, RI 02886-0200 |
| Josephine Barnds Brown | Physician Assistant | Coastal Medical Inc | 78 Baker St, Providence, RI 02905-4417 |
| Kenneth F Sperber | Family Medicine | Coastal Medical Inc | 727 E Ave, Pawtucket, RI 02860-6185 |
| Deborah J Thomas | Physician Assistant | Coastal Medical Inc | 41 Sanderson Rd, Suite 201, Smithfield, RI 02917-2603 |
| Karen Jutras | Nurse Practitioner | Coastal Medical Inc | 450 Veterans Memorial Pkwy Bld, Suite 6, E Providence, RI 02914-5300 |
| Street Address |
41 SANDERSON RD SUITE 205 |
| City | SMITHFIELD |
| State | RI |
| Zip | 02917-2603 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah J Thomas | Physician Assistant | Coastal Medical Inc | 41 Sanderson Rd, Suite 201, Smithfield, RI 02917-2603 |
| Kayleigh E Melroy | Physical Therapy | Silver Fern Practice, LLC | 41 Sanderson Rd, Suite 101, Smithfield, RI 02917-2611 |
| Amy E Sullivan | Physical Therapy | Silver Fern Practice, LLC | 41 Sanderson Rd, Suite 101, Smithfield, RI 02917-2611 |
| Lauren De Leon | Internal Medicine | Coastal Medical Inc | 41 Sanderson Rd, Suite 201, Smithfield, RI 02917-2603 |
| Meridith L Malysz | Nurse Practitioner | Coastal Medical Inc | 41 Sanderson Rd, Suite 201, Smithfield, RI 02917-2603 |
| Pavel Grafov | Physical Therapy | Silver Fern Practice, LLC | 41 Sanderson Rd, Suite 101, Smithfield, RI 02917-2611 |
| Vanessa R Greenier | Internal Medicine | Coastal Medical Inc | 41 Sanderson Rd, Suite 201, Smithfield, RI 02917-2603 |
| Kerry Giroux | Physical Therapy | Silver Fern Practice, LLC | 41 Sanderson Rd, Suite 101, Smithfield, RI 02917-2611 |
| Meghan Labossiere | Nurse Practitioner | Coastal Medical Inc | 41 Sanderson Rd, Suite 201, Smithfield, RI 02917-2603 |
| John A Gaines | Internal Medicine | Coastal Medical Inc | 41 Sanderson Rd, Suite 201, Smithfield, RI 02917-2603 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven J Dantonio | Chiropractic | 305 Farnum Pike, Smithfield, RI 02917-1205 | |
| Peter C Brasch | Ophthalmology | 1 Thurber Blvd, Smithfield, RI 02917-1826 | |
| Mary Kay Uchmanowicz | Qualified Audiologist | 151 Douglas Pike, Suite 1, Smithfield, RI 02917-2379 | |
| Donn Quinn | Family Medicine | Ocean State Urgent Care Center of Smithfield LLC | 400 Putnam Pike, Smithfield, RI 02917-2408 |
| Andre Covacha | Physician Assistant | Ocean State Urgent Care Center of Smithfield LLC | 400 Putnam Pike, Smithfield, RI 02917-2408 |
| David Pavao | Physical Therapy | Silver Fern Practice, LLC | 400 Putnam Pike, Suite E, Smithfield, RI 02917-2408 |
| Amy G Lafontaine | Physician Assistant | Ocean State Urgent Care Center of Smithfield LLC | 400 Putnam Pike, Smithfield, RI 02917-2408 |
| Lorri M Haber-diboni | Chiropractic | 14 Cedar Swamp Rd, Smithfield, RI 02917-2448 | |
| Keith A Perry | Anesthesiology | 14 Cedar Swamp Rd, Smithfield, RI 02917-2448 | |
| John Pugliese | Optometry | Pugliese Family Eye Care, 41 Sanderson Road Suite 203, Smithfield, RI 02917-2602 | |
| Find all physicians in zip 02917 | |||
| City | SMITHFIELD |
| Zip Code | 02917 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SMITHFIELD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Deanna Wall.
| 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.