| Silver Spring Internal Medicine | |
|
100 Kenyon Ave Wakefield RI 02879 | |
| (401) 782-8000 | |
| Not Available |
| Full Name | Silver Spring Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Kenyon Ave, Wakefield, Rhode Island |
| Authorized Official Name and Position | Marcia T Polhemus (CONTROLLER) |
| Authorized Official Contact | 4017881974 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Spring Internal Medicine Po Box 229 Wakefield RI 02880-0229 Ph: (401) 788-8757 | Silver Spring Internal Medicine 100 Kenyon Ave Wakefield RI 02879 Ph: (401) 782-8000 |
| NPI Number | 1861561193 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 09/09/2020 |
| Medicare PECOS PAC ID | 4688661127 |
|---|---|
| Medicare Enrollment ID | O20080124000678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861561193 | NPI | - | NPPES |
| Provider Name | Jack L Schwartzwald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013953439 PECOS PAC ID: 3577547165 Enrollment ID: I20040614000106 |
| Provider Name | Reginald Y Gohh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063466282 PECOS PAC ID: 9739163130 Enrollment ID: I20040615000056 |
| Provider Name | James Russell Corcoran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689661241 PECOS PAC ID: 4880670025 Enrollment ID: I20040628000847 |
| Provider Name | John W Obell |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982657805 PECOS PAC ID: 6103712922 Enrollment ID: I20040918000013 |
| Provider Name | Louis J Rubenstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790725919 PECOS PAC ID: 1759340763 Enrollment ID: I20041006000308 |
| Provider Name | Bruce E Famiglietti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356389571 PECOS PAC ID: 2466411475 Enrollment ID: I20041006000328 |
| Provider Name | Peter Petropoulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346291903 PECOS PAC ID: 2264491802 Enrollment ID: I20041008000049 |
| Provider Name | David Tomlinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467490128 PECOS PAC ID: 5799735759 Enrollment ID: I20050127000170 |
| Provider Name | Colleen A Powers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144224536 PECOS PAC ID: 8224081922 Enrollment ID: I20050228000002 |
| Provider Name | Roger Fazio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760448930 PECOS PAC ID: 1557393691 Enrollment ID: I20050908001231 |
| Provider Name | Carla A Cesario |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992725790 PECOS PAC ID: 6305841941 Enrollment ID: I20061003000532 |
| Provider Name | Emmy Mahoney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205858560 PECOS PAC ID: 1456357649 Enrollment ID: I20061011000365 |
| Provider Name | Joseph M Romanello |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1609889419 PECOS PAC ID: 5991703704 Enrollment ID: I20061109000541 |
| Provider Name | Christopher R Jalbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588639082 PECOS PAC ID: 5597795666 Enrollment ID: I20080318000420 |
| Provider Name | Aaron W Way |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356497176 PECOS PAC ID: 5597825976 Enrollment ID: I20081114000298 |
| Provider Name | Katherine A Flanagan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407968639 PECOS PAC ID: 9739242199 Enrollment ID: I20090112000087 |
| Provider Name | Mark J Mancini |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477579407 PECOS PAC ID: 4082627096 Enrollment ID: I20100924000623 |
| Provider Name | Maroun Azar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790975191 PECOS PAC ID: 1456432608 Enrollment ID: I20101011000542 |
| Provider Name | Richard V Morgera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801934310 PECOS PAC ID: 9133266455 Enrollment ID: I20110217000163 |
| Provider Name | Elizabeth Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023267580 PECOS PAC ID: 0143381954 Enrollment ID: I20110803000531 |
| Provider Name | Elizabeth A Raposa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083901755 PECOS PAC ID: 1052569258 Enrollment ID: I20120913000092 |
| Provider Name | Felipe Vivas Orozco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790914158 PECOS PAC ID: 5597914168 Enrollment ID: I20120926000299 |
| Provider Name | Frederick A Browne |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588641955 PECOS PAC ID: 1456335900 Enrollment ID: I20121008000178 |
| Provider Name | Eric Scott Kerns |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013189174 PECOS PAC ID: 9032364898 Enrollment ID: I20130919000538 |
| Provider Name | Roberta M Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841409976 PECOS PAC ID: 0941369771 Enrollment ID: I20140418000748 |
| Provider Name | Peter C Shorter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518109073 PECOS PAC ID: 5890911861 Enrollment ID: I20140728002057 |
| Provider Name | Robin A Schiappa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306116405 PECOS PAC ID: 4688996580 Enrollment ID: I20141204000133 |
| Provider Name | Gina M Connerton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720399793 PECOS PAC ID: 9436470168 Enrollment ID: I20150608000312 |
| Provider Name | Jane M Chandley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255509212 PECOS PAC ID: 5890006134 Enrollment ID: I20150612001685 |
| Provider Name | Amy B Sharron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861551707 PECOS PAC ID: 8729023668 Enrollment ID: I20150709000183 |
| Provider Name | Brandon Luk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770862039 PECOS PAC ID: 0749597508 Enrollment ID: I20150911001140 |
| Provider Name | Nicole K Breting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023488145 PECOS PAC ID: 1456652015 Enrollment ID: I20151228000053 |
| Provider Name | Robert Charles Kornas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083056113 PECOS PAC ID: 2860783792 Enrollment ID: I20160623000172 |
| Provider Name | Sherry A Matook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881828929 PECOS PAC ID: 7911294921 Enrollment ID: I20160919002343 |
| Provider Name | Matthew R Lynch |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790078947 PECOS PAC ID: 5092070227 Enrollment ID: I20180517001559 |
| Provider Name | Emily Kay Fails |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568975266 PECOS PAC ID: 3971858945 Enrollment ID: I20180614001773 |
| Provider Name | Ankur D Shah |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1043653116 PECOS PAC ID: 5991091548 Enrollment ID: I20180803000285 |
| Provider Name | Briana Hawksley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255839247 PECOS PAC ID: 9739422429 Enrollment ID: I20190521001494 |
| Provider Name | Neima Hadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740638881 PECOS PAC ID: 1153616099 Enrollment ID: I20190611003092 |
| Provider Name | Alyssa Doody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750797122 PECOS PAC ID: 6204053150 Enrollment ID: I20190617001093 |
| Provider Name | Stephanie Maggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972163137 PECOS PAC ID: 5193157675 Enrollment ID: I20191121002461 |
| Provider Name | Beth Dufour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083255509 PECOS PAC ID: 4082049622 Enrollment ID: I20200108003064 |
| Provider Name | Mollie Jean Garrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023669264 PECOS PAC ID: 1557797891 Enrollment ID: I20200205002654 |
| Provider Name | Susan L. Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033590591 PECOS PAC ID: 7416260302 Enrollment ID: I20201130003007 |
| Provider Name | Dmitry Drozhzhin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336596709 PECOS PAC ID: 2264729334 Enrollment ID: I20211201002024 |
| Provider Name | Rajvir Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952892085 PECOS PAC ID: 3779839790 Enrollment ID: I20220825000971 |
| Provider Name | Vazgen Martirosian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316469299 PECOS PAC ID: 2668743709 Enrollment ID: I20230523002017 |
| Provider Name | Grant Lewandrowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558990234 PECOS PAC ID: 1951761956 Enrollment ID: I20230724000306 |
Green Line Express Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 245 Main St, Wakefield, RI 02879 Phone: 401-360-3500 | |
South County Internal Medicine, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 481 Kingstown Rd, Wakefield, RI 02879 Phone: 401-789-0283 Fax: 401-789-0314 | |
Scmg Pulmonary & Sleep Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 401-788-1127 | |
Family Doctor Plus Ri Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 553 Kingstown Rd, Wakefield, RI 02879 Phone: 401-304-9111 Fax: 401-284-0625 | |
Beatriz M. Demoranville, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Kenyon Ave, Suite B1, Wakefield, RI 02879 Phone: 401-783-5044 Fax: 401-782-1363 | |
John Jefferys Bandola, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Kenyon Ave, Suite 326, Wakefield, RI 02879 Phone: 401-789-8543 Fax: 401-782-8766 | |
Evolvemd, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Main St, Wakefield, RI 02879 Phone: 401-782-2400 |