Douglas M Burtt (NPI# 1962449900, PAC ID# 9133116080) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1962449900 |
| PAC ID by PECOS | 9133116080 |
| Professional Enrollment ID | I20040430000657 |
| Full Name | Douglas M Burtt |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Address |
1 Commerce St Lincoln RI 02865-1186 |
| Phone Number | 4017937191 |
| Gender | M |
| Credential | MD |
| Medical School | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| 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 |
| 220008 | STURDY MEMORIAL HOSPITAL |
| 410007 | RHODE ISLAND HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 152 Emory St, Attleboro, MA 02703-2499 | 5082267515 | LIFESPAN PHYSICIAN GROUP INC |
| 1 Commerce St, Lincoln, RI 02865-1186 | 4017937191 | LIFESPAN PHYSICIAN GROUP INC |
| 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 | |
| 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 |
1 COMMERCE ST |
| City | LINCOLN |
| State | RI |
| Zip | 02865-1186 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsea M Mckiernan | Physician Assistant | Anchor Medical Associates | 1 Commerce St, Lincoln, RI 02865-1186 |
| Malini C Gillen | Pediatric Medicine | Anchor Medical Associates | 1 Commerce St, Suite 100, Lincoln, RI 02865-1186 |
| Robert Cohen | Internal Medicine | Anchor Medical Associates | 1 Commerce St, 2nd Floor Internal Medicine, Lincoln, RI 02865-1186 |
| Robyn M. Ostapow | Physician Assistant | Anchor Medical Associates | 1 Commerce St, Lincoln, RI 02865-1186 |
| Maria C Botsko | Physician Assistant | Anchor Medical Associates | 1 Commerce St, Lincoln, RI 02865-1186 |
| Linda L Rexford | Pediatric Medicine | Anchor Medical Associates | 1 Commerce St, Suite 100, Lincoln, RI 02865-1186 |
| Betsy A Krugliak | Psychologist, Clinical | Anchor Medical Associates | 1 Commerce St, 2nd Floor Internal Medicine, Lincoln, RI 02865-1186 |
| Irene S Chliwner | Internal Medicine | Anchor Medical Associates | 1 Commerce St, Lincoln, RI 02865-1186 |
| Shannon Doran | Physician Assistant | Anchor Medical Associates | 1 Commerce St, Lincoln, RI 02865-1186 |
| Judith Westrick | Pediatric Medicine | Anchor Medical Associates | 1 Commerce St, Suite 100, Lincoln, RI 02865-1186 |
| Find all physicians in the same address | |||
| 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 | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | LINCOLN + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Douglas M Burtt.
| 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.