Orthopaedic Associates Inc
Organization Active NPI Orthopaedic Surgery Physician · Cranston, RI
NPI 1215964465 · NPPES record last updated Nov 23, 2021
Key facts
- NPI
- 1215964465
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- ORTHOPAEDIC ASSOCIATES INC
- Practice address
- 725 Reservoir Ave
Cranston, RI 02910 - Phone
- (401) 944-3800
- Fax
- (401) 944-1342
- NPI assigned
- Jun 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Louis John Mariorenzi, MD
- Title
- President
- Phone
- (401) 944-0228
Practitioners 18
-
Travis Blood, M.D.
-
Brian Harris Cohen, M.D.
-
Jeffrey J. Kozlik, PT, DPT
-
Sam Andrew Salvo, PT
-
Nathalia Doobay, DPM
-
Tracy A Evans, PA-C
-
Molly Fitch Holmes, PA-C
-
Peter A Pizzarello, M.D.
-
Braidy Caitlin Shambaugh, D.O.
-
Michael Dudley Shaw, MPT
-
Ira Joel Singer, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050217000678 | RI | Part B Supplier - Clinic/Group Practice | 4880646843 |
Receives reassigned benefits from 18 practitioners Practice locations: Cranston, RI; Cumberland, RI |
National Provider Directory
Locations
725 Reservoir Ave
Ste 4
Cranston, RI 02910
725 Reservoir Ave
Ste 5
Cranston, RI 02910
2138 Mendon Rd
Ste 301
Cumberland, RI 02864
Phone (401) 443-5000
2138 Mendon Rd
Ste 302
Cumberland, RI 02864
Phone (401) 334-1060
725 Reservoir Ave
Ste 101
Providence, RI 02910
Phone (401) 944-0228
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
725 Reservoir Ave
Cranston, RI 02910
Mailing address
725 Reservoir Ave Ste 101
Cranston, RI 02910-4450
Phone (401) 944-0228
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215964465 | Other | RI | DURABLE |
Other providers in Cranston, RI
- Option Care Enterprises, Inc.
- Optometric Care Inc
- Optometric Providers of Rhode Island, Inc
- Optum Care
- Oral Maxillofacial Surgeons, LTD.
- Orthopaedic Associates, Incorporated
- OT Lactivist LLC
- Gabriel Ernesto Otto
- Brittany Pacheco
- Karen Christine Pacheco
All providers in Cranston, RI · Orthopaedic Surgery Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.