| Integrated Patient Solutions Of Rhode Island, P.c. | |
|
1600 Stout St Ste 2000 Attn Strive Health Credentialing Team Denver CO 80202-3113 | |
| (980) 443-4852 | |
| (720) 617-8430 |
| Full Name | Integrated Patient Solutions Of Rhode Island, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1600 Stout St Ste 2000, Denver, Colorado |
| Authorized Official Name and Position | Aaron Molitor (COO) |
| Authorized Official Contact | 9132321472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Patient Solutions Of Rhode Island, P.c. 1600 Stout St Ste 2000 Attn Strive Health Credentialing Team Denver CO 80202-3113 Ph: (980) 443-4852 | Integrated Patient Solutions Of Rhode Island, P.c. 1600 Stout St Ste 2000 Attn Strive Health Credentialing Team Denver CO 80202-3113 Ph: (980) 443-4852 |
| NPI Number | 1215700976 |
|---|---|
| Provider Enumeration Date | 11/03/2023 |
| Last Update Date | 07/09/2024 |
| Medicare PECOS PAC ID | 8729437728 |
|---|---|
| Medicare Enrollment ID | O20231216000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215700976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Farhad Modarai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497098610 PECOS PAC ID: 8224310289 Enrollment ID: I20231216000108 |
| Provider Name | Matthew Kerr |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659029585 PECOS PAC ID: 3476930371 Enrollment ID: I20240105000246 |
| Provider Name | Tracy Rozansky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194487892 PECOS PAC ID: 6901288711 Enrollment ID: I20240117004138 |
| Provider Name | Arielle Ferdinand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700312899 PECOS PAC ID: 5799026100 Enrollment ID: I20240315002281 |
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