Jason P Mallette (NPI# 1871724740, PAC ID# 8325295884) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1871724740 |
| PAC ID by PECOS | 8325295884 |
| Professional Enrollment ID | I20120906000220 |
| Full Name | Jason P Mallette |
| Organization Legal Name | SOUTH COUNTY FOOT AND ANKLE, INC. |
| Address |
280 Front St Lincoln RI 02865-2418 |
| Phone Number | 4013547966 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 2365574928 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410009 | KENT COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 280 Front St, Lincoln, RI 02865-2418 | 4013547966 | SOUTH COUNTY FOOT AND ANKLE, INC. |
| 1087 Warwick Ave, Warwick, RI 02888-3655 | 4013547966 | SOUTH COUNTY FOOT AND ANKLE, INC. |
| Organization Legal Name | SOUTH COUNTY FOOT AND ANKLE, INC. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammy L Vandine | Podiatry | South County Foot and Ankle, Inc. | 1087 Warwick Ave, Warwick, RI 02888-3655 |
| Eric D Meehan | Podiatry | South County Foot and Ankle, Inc. | 24 Salt Pond Rd, Suite E1, Wakefield, RI 02879-4335 |
| Sara Elizabeth Cathcart | Podiatry | South County Foot and Ankle, Inc. | 24 Salt Pond Rd, Suite E1, Wakefield, RI 02879-4335 |
| Street Address |
280 FRONT ST |
| City | LINCOLN |
| State | RI |
| Zip | 02865-2418 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark H Kuhar | Podiatry | 280 Front St, Lincoln, RI 02865-2418 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl E Levick | Cardiovascular Disease (cardiology) | Lifespan Physician Group, Inc. | 6 Blackstone Plaza, Valley Place, Lincoln, RI 02865 |
| Tyler John Sliney | Chiropractic | 640 George Washington Hwy, Bldg C Suite 102, Lincoln, RI 02865 | |
| Jan J Penkala | Obstetrics/gynecology | 6 Blackstone Valley Pl, Suite 501, Lincoln, RI 02865-1101 | |
| Mohammad Jamali | Physical Therapy | Orthopedics Rhode Island, Inc | 6 Blackstone Valley Pl, Lincoln, RI 02865-1102 |
| Richard E Vannieuwenhuize | Internal Medicine | 6 Blackstone Valley Pl, Suite 305, Lincoln, RI 02865-1112 | |
| Michelle C Van Nieuwenhize | Internal Medicine | 6 Blackstone Valley Pl, Suite 305, Lincoln, RI 02865-1112 | |
| Rachel A Baboian | Qualified Audiologist | 6 Blackstone Valley Pl, Suite 307, Lincoln, RI 02865-1112 | |
| Gregory Lazan | Internal Medicine | Lincoln Urgent Care Center, Inc. | 2 Wake Robin Rd, Suite 106, Lincoln, RI 02865-1155 |
| William T Smith | Internal Medicine | Lincoln Urgent Care Center, Inc. | 2 Wake Robin Rd, Suite 106, Lincoln, RI 02865-1155 |
| Glenda E Byhouwer | Clinical Social Worker | 132 Old River Rd, Suite 300, Lincoln, RI 02865-1158 | |
| Find all physicians in zip 02865 | |||
| City | LINCOLN |
| Zip Code | 02865 |
| Specialty | PODIATRY |
| City + Specialty | LINCOLN + PODIATRY |
Please comment or provide details below to improve the information on Jason P Mallette.
| 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.