Hillside Family and Community Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6486 Issued in RI

Legal business name

HILLSIDE FAMILY AND COMMUNITY MEDICINE, LLC

Practice address

727 East Ave
Pawtucket, RI 02860-6184

Phone

(401) 725-6160

Fax

(401) 722-5430

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Michael Fine, MDNPI 1659460442

Title

Physician Operating Officer

Phone

(401) 725-6160

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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

• Michael Fine, MD

  • Family Medicine Physician
  • Pawtucket, RI
  • NPI 1659460442
  NPD (past) Authorized official
• Carol A Garcia-Benoit, RNP

  • Nurse Practitioner
  • Pawtucket, RI
  • NPI 1063745123
  NPD (past)
• Tanya Kay Solberg, MS, RD, LDN, CDOE

  • Registered Dietitian
  • Pawtucket, RI
  • NPI 1063422673
  NPD (past)
• Hana Tsege Hagos, MD

  • Family Medicine Physician
  • Manassas, VA
  • NPI 1588810956
  NPD (past)
• Elena Oh, MS. RDN. LDN, CDE

  • Registered Dietitian
  • Bolingbrook, IL
  • NPI 1972718245
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063501864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 DANIELSON PIKE UNIT B",
            "city": "SCITUATE",
            "state": "RI",
            "postal_code": "028571877",
            "telephone_number": "401-764-0818",
            "fax_number": "401-764-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 EAST AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606184",
            "telephone_number": "401-725-6160",
            "fax_number": "401-722-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE FAMILY AND COMMUNITY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FINE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN OPERATING OFFICER",
        "authorized_official_telephone_number": "401-725-6160",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "6486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Lynn Hernon, OTR/L
• Christopher P Herzig, D.C.
• Sara Heuser, MSW
• Katina Hilliard
• Hillside Avenue Family and Community Medicine, LLC
• Janet Hindley, LICSW/LCDP
• Mara Hochman
• Kyla Hoff
• David Gregory Hogan, LCSW
• Bruce Hookway, MD

• Family Medicine Physician in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Family Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.