Joseph A Wyllie (NPI# 1124046040, PAC ID# 7719974906) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1124046040 |
| PAC ID by PECOS | 7719974906 |
| Professional Enrollment ID | I20040429000147 |
| Full Name | Joseph A Wyllie |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Address |
593 Eddy St Apc Suite 6 Providence RI 02903-4923 |
| Phone Number | 4017939172 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| 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 |
| 410007 | RHODE ISLAND HOSPITAL |
| 410009 | KENT COUNTY MEMORIAL HOSPITAL |
| 410005 | OUR LADY OF FATIMA HOSPITAL |
| 410008 | SOUTH COUNTY HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 950 Warren Ave, Fl 2, East Providence, RI 02914-1432 | 4016061004 | THE MIRIAM HOSPITAL |
| 185 A High Service Ave, North Providence, RI 02904-5114 | 4013546050 | LIFESPAN PHYSICIAN GROUP INC |
| 185 High Service Ave, North Providence, RI 02904-5114 | 4013546050 | LIFESPAN PHYSICIAN GROUP INC |
| 164 Summit Ave, Providence, RI 02906-2853 | LIFESPAN PHYSICIAN GROUP INC | |
| 164 Summit Ave, Providence, RI 02906-2853 | THE MIRIAM HOSPITAL | |
| 208 Collyer St, Suite 100, Providence, RI 02904-1560 | 4017937191 | THE MIRIAM HOSPITAL |
| 593 Eddy St, Providence, RI 02903-4923 | LIFESPAN PHYSICIAN GROUP INC | |
| 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923 | 4017939172 | LIFESPAN PHYSICIAN GROUP INC |
| 593 Eddy St George Bldg 1st Floor, Providence, RI 02903-4923 | 4017939166 | 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 |
593 EDDY ST APC SUITE 6 |
| City | PROVIDENCE |
| State | RI |
| Zip | 02903-4923 |
| 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 |
| Lindsey R Fuller | Physician Assistant | Lifespan Physician Group Inc | 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923 |
| Jinnette D Abbott | Cardiovascular Disease (cardiology) | Lifespan Physician Group Inc | 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923 |
| Find all physicians in the same address | |||
| 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 |
| Find all physicians in zip 02903 | |||
| City | PROVIDENCE |
| Zip Code | 02903 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | PROVIDENCE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Joseph A Wyllie.
| 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.