| Atmed Treatment Center, Inc. | |
|
1526 Atwood Ave Suite 100 Johnston RI 02919-3289 | |
| (401) 273-9400 | |
| (401) 273-2339 |
| Full Name | Atmed Treatment Center, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1526 Atwood Ave, Johnston, Rhode Island |
| Authorized Official Name and Position | Daniel Regan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4012739400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atmed Treatment Center, Inc. 1526 Atwood Ave Johnston RI 02919-3289 Ph: (401) 273-9400 | Atmed Treatment Center, Inc. 1526 Atwood Ave Suite 100 Johnston RI 02919-3289 Ph: (401) 273-9400 |
| NPI Number | 1558490151 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4587655543 |
|---|---|
| Medicare Enrollment ID | O20040519001300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558490151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Rhode Island) | Primary |
| Provider Name | Debra L Dale-walek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265407746 PECOS PAC ID: 6305821828 Enrollment ID: I20040621000185 |
| Provider Name | Stephen M Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730152505 PECOS PAC ID: 7911938121 Enrollment ID: I20050827000168 |
| Provider Name | P Wilfredo Canchis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518018811 PECOS PAC ID: 9133225832 Enrollment ID: I20070425000682 |
| Provider Name | Kathleen Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770632523 PECOS PAC ID: 4688771116 Enrollment ID: I20070517000663 |
| Provider Name | Jason Austin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013963818 PECOS PAC ID: 5991740029 Enrollment ID: I20110406000237 |
| Provider Name | Daniel L Regan |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1972619864 PECOS PAC ID: 8729245824 Enrollment ID: I20120201000292 |
| Provider Name | Allison T Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245644459 PECOS PAC ID: 5092038042 Enrollment ID: I20141223000951 |
| Provider Name | Kaci L Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881047207 PECOS PAC ID: 9830487677 Enrollment ID: I20161012000134 |
| Provider Name | Ellen F. Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578080909 PECOS PAC ID: 6608142542 Enrollment ID: I20171020002619 |
| Provider Name | Jackeline Paola Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073196481 PECOS PAC ID: 9830597137 Enrollment ID: I20211015002516 |
| Provider Name | Morgan A Meisenheimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558031625 PECOS PAC ID: 0840698171 Enrollment ID: I20211018000870 |
Johnston Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 735 Greenville Ave, Bldg D, Johnston, RI 02919 Phone: 623-277-1170 | |
Lucas Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2109 Hartford Ave, Johnston, RI 02919 Phone: 626-319-5932 | |
Ocean State Medical, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1539 Atwood Ave Ste 101, Johnston, RI 02919 Phone: 401-272-3410 Fax: 401-272-3417 | |
Atwood Gastroenterology Services, Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1524 Atwood Ave, Johnston, RI 02919 Phone: 401-383-0400 | |
Integrative Healing Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 Rachela St, Johnston, RI 02919 Phone: 401-648-0304 | |
Atwood Medical Associates Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1524 Atwood Avenue, Suite 220, Johnston, RI 02919 Phone: 401-272-1900 Fax: 401-453-3049 |