Ocean State Medical, LLC
Organization Active NPI Non-Pharmacy Dispensing Site · Johnston, RI
NPI 1386787232 · NPPES record last updated Oct 17, 2012
Key facts
- NPI
- 1386787232
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-Pharmacy Dispensing Site 332900000X
- License
- MD06856 (RI)
- Legal business name
- OCEAN STATE MEDICAL, LLC
- Practice address
- 1539 Atwood Ave
Suite 101
Johnston, RI 02919-3262 - Phone
- (401) 272-3410
- NPI assigned
- Feb 14, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- MEDVANTX,INC
Authorized official
- Name
- Kenny Heine
- Title
- Director of Operations
- Phone
- (858) 625-2990
Corporate family (same tax ID) 13
Practitioners 5
-
Christopher A Ferri, D.O
-
Fred Ferri, MD
-
Vito F. Ferri, D.O.
-
Amber Messitt, DO
National Provider Directory
- Tax ID family
- Lynn a Haughey NPP
- Part of
- Tri - State Medical Group Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | MD06856 | RI | Yes |
Addresses
Primary practice location
1539 Atwood Ave
Suite 101
Johnston, RI 02919-3262
Mailing address
5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705
Other providers in Johnston, RI
- Stephanie Lynn Nyzio
- Maria M O'Toole
- Ocean State Behavioral Health, LLC
- Ocean State Counseling and Wellness Center
- Ocean State Medical, LLC
- Ocean State Optical
- Ocean State Rehab Equipment Inc
- Ashley Olivieri
- Oms Specialists, Inc.
- One Stop Consulting LLC
All providers in Johnston, RI · Non-Pharmacy Dispensing Site 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 Oct 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.