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17 Airport Rd Warwick RI 02889-1001 | |
| (401) 606-2520 | |
| (401) 384-7190 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 17 Airport Rd, Warwick, Rhode Island |
| Authorized Official Name and Position | Peter K Markell (EVP & CFO) |
| Authorized Official Contact | 4014447914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
117 Ellenfield St Ste 101 Providence RI 02905-4513 Ph: (401) 444-6779 | 17 Airport Rd Warwick RI 02889-1001 Ph: (401) 606-2520 |
| NPI Number | 1285191163 |
|---|---|
| Provider Enumeration Date | 02/27/2019 |
| Last Update Date | 09/18/2024 |
| Medicare PECOS PAC ID | 2567455082 |
|---|---|
| Medicare Enrollment ID | O20190603001535 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285191163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Kathleen Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770632523 PECOS PAC ID: 4688771116 Enrollment ID: I20070517000663 |
| Provider Name | Olivier M Gherardi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558324970 PECOS PAC ID: 3779666870 Enrollment ID: I20080213000190 |
| Provider Name | Susan Virginia Clemens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972566396 PECOS PAC ID: 1850478371 Enrollment ID: I20080408000909 |
| Provider Name | Richard V Morgera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801934310 PECOS PAC ID: 9133266455 Enrollment ID: I20110217000163 |
| Provider Name | Alison Elizabeth Wilkens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598266538 PECOS PAC ID: 1759643802 Enrollment ID: I20180329001344 |
| Provider Name | Netesha Renee Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033514971 PECOS PAC ID: 7315277613 Enrollment ID: I20190930002843 |
| Provider Name | Meaghan E Bechard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932743929 PECOS PAC ID: 8820423973 Enrollment ID: I20200117000525 |
| Provider Name | Jeremy Daniel Dibiasio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114533783 PECOS PAC ID: 9739578097 Enrollment ID: I20211109000256 |
| Provider Name | Aimee Elizabeth Molloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235723263 PECOS PAC ID: 4981083797 Enrollment ID: I20220624002422 |
| Provider Name | Elizabeth Jean Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558953687 PECOS PAC ID: 0941684708 Enrollment ID: I20220829002873 |
| Provider Name | Jennifer Marie Silvia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962089524 PECOS PAC ID: 4082099700 Enrollment ID: I20220916001163 |
| Provider Name | Madeline Elizabeth Longo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902533441 PECOS PAC ID: 0547632416 Enrollment ID: I20230202003123 |
| Provider Name | Marcela Barros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699495242 PECOS PAC ID: 2567836570 Enrollment ID: I20230314002210 |
| Provider Name | Amanda Dorothy Tiburcio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922751387 PECOS PAC ID: 1557722485 Enrollment ID: I20230725002634 |
| Provider Name | Danielle Goldman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982226536 PECOS PAC ID: 5890190458 Enrollment ID: I20231113000285 |
| Provider Name | Katherine Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235470394 PECOS PAC ID: 1254780760 Enrollment ID: I20231208003382 |
| Provider Name | Jasmin Rojas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609642065 PECOS PAC ID: 5496190845 Enrollment ID: I20240226002239 |
| Provider Name | Alexis Jibril |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427673458 PECOS PAC ID: 9537583091 Enrollment ID: I20240911002338 |
| Provider Name | Naomi Stasia Siwy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326615246 PECOS PAC ID: 1456755834 Enrollment ID: I20240911002447 |
Matthew K. Rocheleau, Do Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 Toll Gate Rd Ste 306, Warwick, RI 02886 Phone: 401-373-0820 | |
The Medical Group Of Rhode Island, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1050 Warwick Ave, Warwick, RI 02888 Phone: 401-467-6257 Fax: 401-785-1191 | |
Workit Health Mi Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Jefferson Blvd Ste 200, Warwick, RI 02888 Phone: 734-373-0849 | |
Lucille Lanna Md,ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 Toll Gate Rd, Suite 103, Warwick, RI 02886 Phone: 401-921-6700 Fax: 888-422-9102 | |
Lucille Vega Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 962 Warwick Ave, Warwick, RI 02888 Phone: 401-383-7830 Fax: 401-270-1165 | |
Ocean State Urgent Care Center Of Warwick, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1131 Warwick Ave, Warwick, RI 02888 Phone: 401-235-7310 |