| North Providence Primary Care Assoc Inc | |
|
1830 Mineral Spring Ave North Providence RI 02904-3864 | |
| (401) 351-1900 | |
| (401) 270-3080 |
| Full Name | North Providence Primary Care Assoc Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1830 Mineral Spring Ave, North Providence, Rhode Island |
| Authorized Official Name and Position | Anthony G Farina (OWNER) |
| Authorized Official Contact | 4013511900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Providence Primary Care Assoc Inc 1830 Mineral Spring Ave North Providence RI 02904-3864 Ph: (401) 351-1900 | North Providence Primary Care Assoc Inc 1830 Mineral Spring Ave North Providence RI 02904-3864 Ph: (401) 351-1900 |
| NPI Number | 1902886757 |
|---|---|
| Provider Enumeration Date | 01/18/2006 |
| Last Update Date | 02/03/2014 |
| Medicare PECOS PAC ID | 4880607704 |
|---|---|
| Medicare Enrollment ID | O20061116000530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902886757 | NPI | - | NPPES |
| 0406635 | Other | RI | UNITED |
| 232780 | Other | RI | BC BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | RI 8466 (Rhode Island) | Primary |
| Provider Name | Soneath L Pond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851460372 PECOS PAC ID: 7719955731 Enrollment ID: I20040917000888 |
| Provider Name | Anthony G Farina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679640767 PECOS PAC ID: 2668494717 Enrollment ID: I20060130000692 |
| Provider Name | Karen D Grande |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386708923 PECOS PAC ID: 9830191816 Enrollment ID: I20070203000154 |
| Provider Name | Joseph Frank Grillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508819608 PECOS PAC ID: 4789771189 Enrollment ID: I20071101000384 |
| Provider Name | Okosun E Edoro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063611481 PECOS PAC ID: 3577538099 Enrollment ID: I20081216000294 |
| Provider Name | Edward L Cullen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982713020 PECOS PAC ID: 6204019334 Enrollment ID: I20110325000736 |
| Provider Name | Dennis J Romano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710069414 PECOS PAC ID: 5193908226 Enrollment ID: I20110325000763 |
| Provider Name | M Aurora Balerdi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447582135 PECOS PAC ID: 6709060726 Enrollment ID: I20110414000860 |
| Provider Name | Lisa M Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518214774 PECOS PAC ID: 0345499042 Enrollment ID: I20121011000878 |
| Provider Name | Ambreen Ijaz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194831925 PECOS PAC ID: 1951579929 Enrollment ID: I20140113000627 |
| Provider Name | Michael S Duque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871816488 PECOS PAC ID: 5799900056 Enrollment ID: I20140701000717 |
| Provider Name | Sheldon D.e. Malcolm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104054261 PECOS PAC ID: 1052553989 Enrollment ID: I20160811002541 |
| Provider Name | Natalie P Rebelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013266592 PECOS PAC ID: 7315235017 Enrollment ID: I20161012002444 |
| Provider Name | Regis Burlas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457374654 PECOS PAC ID: 7810974136 Enrollment ID: I20161018001460 |
| Provider Name | Monique L Anderson-mccurbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881141836 PECOS PAC ID: 3577846872 Enrollment ID: I20170213000149 |
| Provider Name | Francesco Lupis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174657167 PECOS PAC ID: 8426157629 Enrollment ID: I20191202001936 |
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