Ross Budacki (NPI# 1568724797, PAC ID# 6709154313) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1568724797 |
| PAC ID by PECOS | 6709154313 |
| Professional Enrollment ID | I20170622000371 |
| Full Name | Ross Budacki |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Address |
19 Friendship St Suite 130 Newport RI 02840-2200 |
| Phone Number | 4018452113 |
| Gender | M |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 2567455082 |
| Number of Group Practice Members | 600 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410006 | NEWPORT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 11 Friendship St, Newport, RI 02840-2209 | 4018451472 | LIFESPAN PHYSICIAN GROUP INC |
| 19 Friendship St, Suite 130, Newport, RI 02840-2200 | 4018452113 | 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 |
19 FRIENDSHIP ST SUITE 130 |
| City | NEWPORT |
| State | RI |
| Zip | 02840-2200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nikhil C Panda | Cardiac Electrophysiology | Lifespan Physician Group Inc | 19 Friendship St, Newport, RI 02840-2200 |
| Ned H Gutman | Cardiovascular Disease (cardiology) | Lifespan Physician Group Inc | 19 Friendship St, Newport, RI 02840-2200 |
| Rolf H Langeland | Orthopedic Surgery | Lifespan Physician Group Inc | 19 Friendship St, Newport, RI 02840-2200 |
| Philip Julian Schmitt | Psychiatry | Lifespan Physician Group Inc | 19 Friendship St, Unit 340, Newport, RI 02840-2200 |
| Fakhreddin Entezary | Diagnostic Radiology | Prima Care PC | 19 Friendship St, Unit 150, Newport, RI 02840-2200 |
| Steven J Barreto | Psychologist, Clinical | Lifespan Physician Group Inc | 19 Friendship St, Unit 240, Newport, RI 02840-2200 |
| Heather M Hall | Psychiatry | Lifespan Physician Group Inc | 19 Friendship St, Newport, RI 02840-2200 |
| Farrel I Klein | Psychiatry | Lifespan Physician Group Inc | 19 Friendship St, Newport, RI 02840-2200 |
| Susanne J Patrick Mackinnon | Neurology | Lifespan Physician Group Inc | 19 Friendship St, Suite 150 160, Newport, RI 02840-2272 |
| Andrea Franson Elmere | Nurse Practitioner | Lifespan Physician Group Inc | 19 Friendship St, Newport, RI 02840-2200 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan S Sheff | Podiatry | 392 Broadway, Newport, RI 02840-1733 | |
| Kathleen M Tirrell | Certified Nurse Midwife | Obstetrical Associates Inc | 358 Broadway, Newport, RI 02840-1735 |
| John Mccaffrey | Internal Medicine | 409 Broadway, Newport, RI 02840-1740 | |
| Virginia Mary Spaulding | Psychologist, Clinical | 54 Malbone Rd, Newport, RI 02840-1746 | |
| Carlyle Smart | Chiropractic | 372 Broadway, Newport, RI 02840-1777 | |
| Gail A Carpenter | Clinical Social Worker | 7 Bayview Ave, Suite 1, Newport, RI 02840-2107 | |
| Gracious A Audette | Clinical Social Worker | 40 Channing St, Newport, RI 02840-2165 | |
| Stephen D Groskin | Family Medicine | Prima Care PC | 19 Friendship St, Unit 150, Newport, RI 02840-2200 |
| Kathryn A Mitchell | Physician Assistant | Lifespan Physician Group Inc | 19 Friendship St, Newport, RI 02840-2200 |
| Lauren Marvell | Nurse Practitioner | Lifespan Physician Group Inc | 19 Friendship St, Unit 240, Newport, RI 02840-2200 |
| Find all physicians in zip 02840 | |||
| City | NEWPORT |
| Zip Code | 02840 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | NEWPORT + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Ross Budacki.
| 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.