Ocean State Urgent Care Center of North Providence, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

OCEAN STATE URGENT CARE CENTER OF NORTH PROVIDENCE, LLC

Practice address

1637 Mineral Spring Ave Ste 115
North Providence, RI 02904-4042

Phone

(401) 353-1012

Fax

(401) 353-6362

NPI assigned

May 31, 2017

Last updated

Jun 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jen Zuba

Title

General Manager

Phone

(401) 235-7310

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott A Wilson, M.D.

  • Internal Medicine Physician
  • Cumberland, RI
  • NPI 1619974672
  NPD (past)

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496880000000",
    "number": "1205364544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 MENDON RD STE 3-333",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028643844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 MINERAL SPRING AVE STE 115",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044042",
            "telephone_number": "401-353-1012",
            "fax_number": "401-353-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN STATE URGENT CARE CENTER OF NORTH PROVIDENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2017-06-08",
        "status": "A",
        "authorized_official_last_name": "ZUBA",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "401-235-7310"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin P. O'Connell, M.D.
• Catherine R O'Shaughnessy
• Deirdre O'Sullivan, CRNA
• Ocean State Academy Learning Center LLC
• Ocean State Oral Surgery Center,LLC
• George Oganesian
• Samuel P Oh, M.D.
• Celestina Okai
• Mara Rosa Olink, MSW, LICSW
• Optometric Care Inc

• Urgent Care Clinic/Center in North Providence, RI
• Providers in North Providence, RI by specialty
• Urgent Care Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; 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.