Randall I Rosenthal
LIFESPAN PHYSICIAN GROUP, INC.


Address: 6 Blackstone Valley Pl, Lincoln, RI 02865-1179
Phone: 4013546250

Randall I Rosenthal (NPI# 1760464150, PAC ID# 9537213806) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.

Physician Overview

Nation Provider ID (NPI) 1760464150
PAC ID by PECOS 9537213806
Professional Enrollment ID I20090820000703
Full Name Randall I Rosenthal
Organization Legal Name LIFESPAN PHYSICIAN GROUP, INC.
Address 6 Blackstone Valley Pl
Lincoln
RI 02865-1179
Phone Number 4013546250
Gender M
Medical School STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year 1985
Primary Specialty OBSTETRICS/GYNECOLOGY
Group Practice PAC ID 2567455082
Number of Group Practice Members 536
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
410006 NEWPORT HOSPITAL

Other Locations

Address Phone Organization
1 Commerce St, Lincoln, RI 02865-1186 4017937191 LIFESPAN PHYSICIAN GROUP, INC.
6 Blackstone Valley Pl, Lincoln, RI 02865-1179 4013546250 LIFESPAN PHYSICIAN GROUP, INC.

Organization Information

Organization Legal Name LIFESPAN PHYSICIAN GROUP, INC.
Physicians 75

Physicians with the same organization

Name Specialty Organization Address
Carl E Levick Cardiovascular Disease (cardiology) Lifespan Physician Group, Inc. 6 Blackstone Plaza, Valley Place, Lincoln, RI 02865
John A Day Jr. Pulmonary Disease Lifespan Physician Group, Inc. 19 Friendship, Providence, RI 02903-3913
Terri L Chalker Certified Registered Nurse Anesthetist Lifespan Physician Group, Inc. 593 Eddy St, Providence, RI 02903-4923
Adriana M Hosu Internal Medicine Lifespan Physician Group, Inc. 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923
Andrea C Sartori Clinical Psychologist Lifespan Physician Group, Inc. 593 Eddy St, Providence, RI 02903-4923
Damien Paul Hebert Certified Registered Nurse Anesthetist Lifespan Physician Group, Inc. 17 Seekonk St, Providence, RI 02906-5125
Rebecca Leigh Jackson Nurse Practitioner Lifespan Physician Group, Inc. 185 High Service Ave, North Providence, RI 02904-5114
Jennifer T Dibello Registered Dietitian Or Nutrition Professional Lifespan Physician Group, Inc. 148 W River St, Suite 1g, Providence, RI 02904-2615
Kristin Beauregard Nurse Practitioner Lifespan Physician Group, Inc. 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923
Lynn C Schultz Certified Registered Nurse Anesthetist Lifespan Physician Group, Inc. 593 Eddy St, Providence, RI 02903-4923

Office Location

Street Address 6 BLACKSTONE VALLEY PL
City LINCOLN
State RI
Zip 02865-1179

Physicians in the same location

Name Specialty Organization Address
Nicholas Ryan Chasse Nurse Practitioner Coastal Medical Inc 6 Blackstone Valley Pl, Suite 701, Lincoln, RI 02865-1170
Kate O Heelan Family Medicine Coastal Medical Inc 6 Blackstone Valley Pl, Suite 701, Lincoln, RI 02865-1170
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
Anne E Cushing Brescia Internal Medicine Coastal Medical Inc 6 Blackstone Valley Pl, Suite 701, Lincoln, RI 02865-1170
Mridula Menon Internal Medicine Coastal Medical Inc 6 Blackstone Valley Pl, Suite 701, Lincoln, RI 02865-1170
Victoria Voshchin Nurse Practitioner Coastal Medical Inc 6 Blackstone Valley Pl, Suite 701, Lincoln, RI 02865-1170
Christina Botelho Nurse Practitioner Coastal Medical Inc 6 Blackstone Valley Pl, Suite 701, Lincoln, RI 02865-1170
Rachel A Baboian Qualified Audiologist 6 Blackstone Valley Pl, Suite 307, Lincoln, RI 02865-1112
Jan J Penkala Obstetrics/gynecology 6 Blackstone Valley Pl, Suite 501, Lincoln, RI 02865-1101
Find all physicians in the same address

Physicians in the same zip code

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
Mohammad Jamali Physical Therapy Orthopedics Rhode Island, Inc 6 Blackstone Valley Pl, Lincoln, RI 02865-1102
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
Carol J Hamel Optometry 132 Old River Rd, Suite 201, Lincoln, RI 02865-1158
David Kadmon Rheumatology 132 Old River Rd, B2, Lincoln, RI 02865-1158
Gregg E Oehler Physician Assistant Anchor Medical Associates 1 Commerce St, Lincoln, RI 02865-1168
Daniel K Asiedu Internal Medicine Coastal Medical Inc 6 Blackstone Valley Pl, Suite 701, Lincoln, RI 02865-1170
Find all physicians in zip 02865

Competitor

Search similar physicians

City LINCOLN
Zip Code 02865
Specialty OBSTETRICS/GYNECOLOGY
City + Specialty LINCOLN + OBSTETRICS/GYNECOLOGY

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Dataset Information

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.

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