Midland Medical Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MIDLAND MEDICAL INC

Practice address

1312 Oaklawn Ave
Cranston, RI 02920

Phone

(401) 463-3380

Fax

(401) 463-3308

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Stephen R Beaupre, MDNPI 1619994217

Title

Medical Director

Phone

(401) 463-3380

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 9

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

• Stephen R Beaupre, MD

  • Internal Medicine Physician
  • Cranston, RI
  • NPI 1619994217
  Medicare reassignment Care Compare group NPD Authorized official
• Donald A Nadeau, DO

  • General Practice Physician
  • Cranston, RI
  • NPI 1902812480
  Medicare reassignment Care Compare group NPD
• Darlene Patricia Males, APRN

  • Family Nurse Practitioner
  • Wakefield, RI
  • NPI 1821599101
  Medicare reassignment NPD
• Christopher D Sands, PA-C

  • Physician Assistant
  • Cranston, RI
  • NPI 1508872615
  Medicare reassignment
• Motasem A Al-Yacoub, M.D.

  • Neurology Physician
  • Pawtucket, RI
  • NPI 1609837707
  NPD (past)
• Ajit K Chadha, MD

  • General Practice Physician
  • Cranston, RI
  • NPI 1407862980
  NPD (past)
• William Chang, MD

  • General Practice Physician
  • Cranston, RI
  • NPI 1700807567
  NPD (past)
• Robert Emmett McKittrick Jr., M.D.

  • General Practice Physician
  • Miami, FL
  • NPI 1356543466
  NPD (past)
• Donald Alfred Nadeau, MSW, LICSW

  • Clinical Social Worker
  • Bedford, MA
  • NPI 1730139213
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1407871270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 OAKLAWN AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "02920",
            "telephone_number": "401-463-3380",
            "fax_number": "401-463-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 OAKLAWN AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "02920",
            "telephone_number": "401-463-3380",
            "fax_number": "401-463-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "BEAUPRE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "401-463-3380",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "RI",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "RI",
            "license": "7006274",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "RI",
            "license": "1276020001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "7006274",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000128",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Michael J Hayden, DO Inc
• Jonathan Michelsohn, DMD
• Carolyn Michener
• Sidney Premer Migliori, MD
• Karen E Miguel, OTR/L
• Carol Susan Millan, A.P.N.C.
• Lorrie Ann Miller, OTR-L
• Olivia Reese Miller, OTD, OTR/ L

• Urgent Care Clinic/Center in Cranston, RI
• Providers in Cranston, 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 May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.