| Diabetes & Endocrinology Associates, Inc. | |
|
100 Highland Ave Providence RI 02906-2740 | |
| (401) 351-7100 | |
| Not Available |
| Full Name | Diabetes & Endocrinology Associates, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Highland Ave, Providence, Rhode Island |
| Authorized Official Name and Position | Charles B Kahn (PRESIDENT) |
| Authorized Official Contact | 4013517100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes & Endocrinology Associates, Inc. 100 Highland Ave Providence RI 02906-2740 Ph: (401) 351-7100 | Diabetes & Endocrinology Associates, Inc. 100 Highland Ave Providence RI 02906-2740 Ph: (401) 351-7100 |
| NPI Number | 1407954415 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 01/12/2015 |
| Medicare PECOS PAC ID | 0749281087 |
|---|---|
| Medicare Enrollment ID | O20070129000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407954415 | NPI | - | NPPES |
| 9000831 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Roberto Ortiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407995640 PECOS PAC ID: 3577564822 Enrollment ID: I20070205000515 |
| Provider Name | Valerie A Thomas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1912005901 PECOS PAC ID: 3678574910 Enrollment ID: I20100219000334 |
| Provider Name | Robert Dobrzynski |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598863599 PECOS PAC ID: 6204837552 Enrollment ID: I20100311000465 |
| Provider Name | Alice Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952315897 PECOS PAC ID: 7618134404 Enrollment ID: I20120207000117 |
| Provider Name | Manchin Chang |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346442563 PECOS PAC ID: 1951567296 Enrollment ID: I20120731000770 |
| Provider Name | Sanam Lathief |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295082477 PECOS PAC ID: 4183921836 Enrollment ID: I20170503002344 |
| Provider Name | Ameya Hodarkar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1467893826 PECOS PAC ID: 0244453710 Enrollment ID: I20180514002601 |
Kevin E. Baill Md & Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Blackstone Blvd, Providence, RI 02906 Phone: 917-447-2138 | |
Ocean State Urgent Care At St Joseph Health Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Peace St, Providence, RI 02907 Phone: 301-314-3999 Fax: 401-808-6294 | |
Theodore C. Palumbo, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 Staniford St, Providence, RI 02905 Phone: 401-421-8800 Fax: 401-273-6510 | |
The Providence Community Health Centers, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 145 Beaufort St, Providence, RI 02908 Phone: 888-612-7242 Fax: 401-444-0421 | |
Concentra Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 290 Branch Ave, Providence, RI 02904 Phone: 401-722-8880 Fax: 401-723-9320 | |
Barrington Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 381 Wickenden St, Providence, RI 02903 Phone: 401-433-7550 Fax: 401-490-0905 | |
Hallworth House Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Benefit St, Providence, RI 02904 Phone: 401-274-4505 |