| Osh - Ri Physicians Group, Pc | |
|
300 Quaker Ln # C2-4 Warwick RI 02886-0159 | |
| (312) 733-9730 | |
| Not Available |
| Full Name | Osh - Ri Physicians Group, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 Quaker Ln # C2-4, Warwick, Rhode Island |
| Authorized Official Name and Position | Griffin Myers (CMO) |
| Authorized Official Contact | 3072642085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osh - Ri Physicians Group, Pc 30 W Monroe St Ste 1200 Chicago IL 60603-2420 Ph: (312) 733-9730 | Osh - Ri Physicians Group, Pc 300 Quaker Ln # C2-4 Warwick RI 02886-0159 Ph: (312) 733-9730 |
| NPI Number | 1063984813 |
|---|---|
| Provider Enumeration Date | 12/18/2018 |
| Last Update Date | 06/29/2023 |
| Certification Date | 06/29/2023 |
| Medicare PECOS PAC ID | 5193051936 |
|---|---|
| Medicare Enrollment ID | O20190731002184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063984813 | NPI | - | NPPES |
| MD16439 | Other | RI | MEDICAL LICENSE |
| Provider Name | Wanda K Pothier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508817545 PECOS PAC ID: 2769378926 Enrollment ID: I20040224001341 |
| Provider Name | Mary Lyster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790715654 PECOS PAC ID: 2365427101 Enrollment ID: I20040624000027 |
| Provider Name | Leslie Franklin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447247002 PECOS PAC ID: 2365474400 Enrollment ID: I20050908001237 |
| Provider Name | Kimberly A Zeller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578780060 PECOS PAC ID: 6800980855 Enrollment ID: I20070920000734 |
| Provider Name | Pervez A Khatib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881687481 PECOS PAC ID: 9234211723 Enrollment ID: I20080123000250 |
| Provider Name | Solmaz Behtash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326151937 PECOS PAC ID: 6507928215 Enrollment ID: I20081215000137 |
| Provider Name | George E Hardy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679790059 PECOS PAC ID: 4486841780 Enrollment ID: I20101213000953 |
| Provider Name | Jennifer A Alfawaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477603256 PECOS PAC ID: 8123209228 Enrollment ID: I20110223000082 |
| Provider Name | Katherine P Obara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669787073 PECOS PAC ID: 5193919256 Enrollment ID: I20120622000495 |
| Provider Name | Meredith A. Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134450406 PECOS PAC ID: 4385889732 Enrollment ID: I20130408000022 |
| Provider Name | Adam R Vareika |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093985392 PECOS PAC ID: 8224214440 Enrollment ID: I20130603000582 |
| Provider Name | Ruth J Wartenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528205549 PECOS PAC ID: 6305085127 Enrollment ID: I20130626000653 |
| Provider Name | Nicholas T Nikolopoulos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740591015 PECOS PAC ID: 3779727516 Enrollment ID: I20130918000446 |
| Provider Name | Heather L Mackey Fowler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548294218 PECOS PAC ID: 7517903156 Enrollment ID: I20140904002587 |
| Provider Name | Edward Westrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477843696 PECOS PAC ID: 4284954082 Enrollment ID: I20150519001008 |
| Provider Name | Rosemary V Dever |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215304159 PECOS PAC ID: 5193024420 Enrollment ID: I20160509000383 |
| Provider Name | Deanna L Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760937650 PECOS PAC ID: 2163700261 Enrollment ID: I20161025000236 |
| Provider Name | Chelsea J Mcgovern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851848154 PECOS PAC ID: 3870871908 Enrollment ID: I20161025001478 |
| Provider Name | Margaret Frempong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508176090 PECOS PAC ID: 8820371107 Enrollment ID: I20170210001881 |
| Provider Name | Patricia J Doolin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942796339 PECOS PAC ID: 0244580595 Enrollment ID: I20180906002068 |
| Provider Name | Jennifer Nitanya Barlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083177810 PECOS PAC ID: 9537492129 Enrollment ID: I20190613002379 |
| Provider Name | Ashley Pleie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124507371 PECOS PAC ID: 4284968777 Enrollment ID: I20190703001801 |
| Provider Name | Tashawna Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770142853 PECOS PAC ID: 0941537070 Enrollment ID: I20190812002106 |
| Provider Name | Griffin Myers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871817643 PECOS PAC ID: 7719145127 Enrollment ID: I20190815000705 |
| Provider Name | Julie Silverstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386629178 PECOS PAC ID: 0749325801 Enrollment ID: I20190815002665 |
| Provider Name | Margaret Annette Gallardo-cochran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326209743 PECOS PAC ID: 9133314024 Enrollment ID: I20191108000610 |
| Provider Name | Miryam Amelie Boucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699311753 PECOS PAC ID: 6901232453 Enrollment ID: I20200203000149 |
| Provider Name | Robert Cromley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447526983 PECOS PAC ID: 7012149099 Enrollment ID: I20200730002420 |
| Provider Name | Babak Ettekal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548474778 PECOS PAC ID: 9739211343 Enrollment ID: I20200811000819 |
| Provider Name | Raissa Mutuyimana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902442874 PECOS PAC ID: 8729413851 Enrollment ID: I20200901001443 |
| Provider Name | Meaghan Sloane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467048132 PECOS PAC ID: 8426464793 Enrollment ID: I20210311000291 |
| Provider Name | Justin Hunt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326138074 PECOS PAC ID: 6901842228 Enrollment ID: I20210816002570 |
| Provider Name | Bianca S Ogando |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003400102 PECOS PAC ID: 6204232911 Enrollment ID: I20210903001889 |
| Provider Name | Dilennys Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881235174 PECOS PAC ID: 6709219728 Enrollment ID: I20220324001137 |
| Provider Name | Caitlin Nicole Tazi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275168965 PECOS PAC ID: 9739509233 Enrollment ID: I20220610000236 |
| Provider Name | Mira Desai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538559190 PECOS PAC ID: 6800104787 Enrollment ID: I20220613000129 |
| Provider Name | Timanika Dansby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083016547 PECOS PAC ID: 5698061299 Enrollment ID: I20220614003179 |
| Provider Name | Tuwanda Williamson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629018528 PECOS PAC ID: 6608817630 Enrollment ID: I20220804002996 |
| Provider Name | Rachel Hildebrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528531258 PECOS PAC ID: 7416299748 Enrollment ID: I20220809003922 |
| Provider Name | Lunia Estela Collado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346801404 PECOS PAC ID: 2163757204 Enrollment ID: I20220919001198 |
| Provider Name | Rachel Sabb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629321096 PECOS PAC ID: 0547412371 Enrollment ID: I20220926003450 |
| Provider Name | Ava King-byrne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619299039 PECOS PAC ID: 8426186396 Enrollment ID: I20221031002206 |
| Provider Name | Marisa Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336171628 PECOS PAC ID: 8022185610 Enrollment ID: I20221121002387 |
| Provider Name | Meagan Guise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104403112 PECOS PAC ID: 0749698124 Enrollment ID: I20221229000297 |
| Provider Name | Allison Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437573482 PECOS PAC ID: 5890914535 Enrollment ID: I20221230000729 |
| Provider Name | Karen Garibaldi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396741682 PECOS PAC ID: 6002897774 Enrollment ID: I20230419001637 |
| Provider Name | Amy Kwolek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952054314 PECOS PAC ID: 7719348390 Enrollment ID: I20230728002077 |
| Provider Name | Naomie Robert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841902970 PECOS PAC ID: 7618341256 Enrollment ID: I20231116002485 |
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