Park Square Urgent Care | |
65 Eddie Dowling Hwy North Smithfield RI 02896-7305 | |
(401) 597-5353 | |
(401) 769-4555 |
Full Name | Park Square Urgent Care |
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Speciality | Clinic/Center |
Location | 65 Eddie Dowling Hwy, North Smithfield, Rhode Island |
Authorized Official Name and Position | Muhammad Imran Chaudry (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 4015975353 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Park Square Urgent Care 63 Eddie Dowling Hwy Ste 1 North Smithfield RI 02896-7322 Ph: (401) 597-5353 | Park Square Urgent Care 65 Eddie Dowling Hwy North Smithfield RI 02896-7305 Ph: (401) 597-5353 |
NPI Number | 1982216974 |
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Provider Enumeration Date | 08/20/2020 |
Last Update Date | 10/10/2023 |
Medicare PECOS PAC ID | 4486068673 |
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Medicare Enrollment ID | O20210129000847 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982216974 | NPI | - | NPPES |
710001102 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
Provider Name | Syed Iftikhar Hussain |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144285081 PECOS PAC ID: 3678512779 Enrollment ID: I20050428000160 |
Provider Name | Jo-ann M Moore |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104134113 PECOS PAC ID: 9638358765 Enrollment ID: I20110121000484 |
Provider Name | Kellyann G. Florentino |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649703547 PECOS PAC ID: 4486924966 Enrollment ID: I20180806002182 |
Provider Name | Rose Tarsio |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063995611 PECOS PAC ID: 3971841040 Enrollment ID: I20190214002855 |
Provider Name | Jessica Marie Dirocco |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093374274 PECOS PAC ID: 4587998224 Enrollment ID: I20190628001634 |
Provider Name | Tracy Lynn Carraggi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831743095 PECOS PAC ID: 9335560101 Enrollment ID: I20200821000604 |
Provider Name | Arabia Songs Kopec |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407474042 PECOS PAC ID: 3072927292 Enrollment ID: I20210129002522 |
Provider Name | Salma Antony |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497369060 PECOS PAC ID: 9436568201 Enrollment ID: I20210506002287 |
Provider Name | Kaneisha Rae Deburgo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952955023 PECOS PAC ID: 9436481843 Enrollment ID: I20210507001089 |
Rhode Island Health Group Primacare Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 63 Eddie Dowling Hwy Ste 1, North Smithfield, RI 02896 Phone: 401-769-2222 Fax: 401-769-4555 | |
New England Premier Healthcare Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 116 Eddie Dowling Hwy, North Smithfield, RI 02896 Phone: 401-996-5267 | |
Alvin C. Bacon, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 598 Great Rd, Lower Level, North Smithfield, RI 02896 Phone: 401-534-6784 Fax: 401-356-4990 | |
Ronald Romano, Do, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 176 Eddie Dowling Hwy, North Smithfield, RI 02896 Phone: 401-766-4900 | |
East Coast Primary Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Eddie Dowling Hwy, Suite 3, North Smithfield, RI 02896 Phone: 401-766-8200 | |
Michael R Heru, Md Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 594 Great Rd Ste 102a, Suite 105, North Smithfield, RI 02896 Phone: 401-597-0088 | |
North Smithfield Urgent Care,llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 594 Great Rd, Suite 103, North Smithfield, RI 02896 Phone: 401-768-3700 Fax: 401-768-3703 |