Atmed Primary Care Inc.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

MD09755 Issued in RI

Legal business name

ATMED PRIMARY CARE INC.

Practice address

1526 Atwood Ave
Suite 105
Johnston, RI 02919-3289

Phone

(401) 272-5468

NPI assigned

Feb 13, 2007

Last updated

Oct 16, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

Director of Operations

Phone

(858) 625-2990

Specialties & licenses 1

Addresses

Part of

Medvantx Inc

Locations

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.

• Dian Joan Cullion, PA-C

  • Medical Physician Assistant
  • Johnston, RI
  • NPI 1972551489
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1417099797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705",
            "telephone_number": "858-625-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 ATWOOD AVE",
            "address_2": "SUITE 105",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193289",
            "telephone_number": "401-272-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATMED PRIMARY CARE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2007-02-13",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "RI",
            "license": "MD09755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony's Pharmacy Atwood LLC
• Ara-Johnston Dialysis LLC (Dialysis Center of Johnston)
• McKayla Arbige, MASTERS
• Michel Albert Arcand, M.D.
• Atmed Primary Care Inc
• Atmed Treatment Center Inc (Atmed Treatment Center)
• Atmed Treatment Center, Inc.
• Atwood Gastroenterology Services, LTD.
• Atwood Medical Associates LTD
• Atwood Orthopedic Assoc

• Non-Pharmacy Dispensing Site in Johnston, RI
• Providers in Johnston, RI by specialty
• Non-Pharmacy Dispensing Site in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.