East Side Surgical Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

RI5011 Issued in RI

Legal business name

EAST SIDE SURGICAL GROUP INC

Practice address

407 East Avenue
Suite 200
Pawtucket, RI 02860-5299

Phone

(401) 312-0023

Fax

(401) 312-0006

NPI assigned

Jan 16, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Steven I Cohen, M.D.

Title

President

Phone

(401) 312-0023

Specialties & licenses 1

Addresses

Other names 1

• breast health Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arnold Harvey Herman, M.D., FACS

  • Surgery Physician
  • Providence, RI
  • NPI 1881683985
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1043496359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 EAST AVENUE",
            "address_2": "SUITE 200",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605299",
            "telephone_number": "401-312-0023",
            "fax_number": "401-312-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 EAST AVENUE",
            "address_2": "SUITE 200",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605299",
            "telephone_number": "401-312-0023",
            "fax_number": "401-312-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SIDE SURGICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-312-0023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "RI",
            "license": "RI5011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "breast health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sylvie Duverseau, LCSW
• Mari-Beth Dziadosz
• Walter Matthew Dzialo, D.D.S.
• East Bay Counsling Center, Inc..
• East Bay Neurology Professional Corporation
• Eastern Star EMS (Eastern Star)
• Charles B. Eaton, MD
• John Echeverry, BACHELORS
• Edward U Choi MD Inc
• Jolie Efezokhae, RPH

• Specialist in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Specialist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.