East Side Primary Care Providence LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD08003 Issued in RI

Legal business name

EAST SIDE PRIMARY CARE PROVIDENCE LLC

Practice address

1195 N Main St
Providence, RI 02904-1824

Phone

(401) 334-3105

Fax

(401) 334-1144

NPI assigned

Aug 22, 2016

Organization subpart

No

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

Authorized official

Name

Frank M D'Alessandro, M.D.

Title

Owner

Phone

(401) 578-8816

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jonathan Hamilton Martin, M.D.

  • Internal Medicine Physician
  • East Greenwich, RI
  • NPI 1528209335
  NPD (past)

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1558816330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041824",
            "telephone_number": "401-334-3105",
            "fax_number": "401-334-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041824",
            "telephone_number": "401-334-3105",
            "fax_number": "401-334-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SIDE PRIMARY CARE PROVIDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "D'ALESSANDRO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-578-8816",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD08003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charline Early, LCSW
• East Coast Acupuncture & Herbs, LLC
• East Side Endodontics
• East Side Orthopaedics, Inc
• East Side Prescription Center Inc
• East Side Psychiatric Associates, LTD
• East Side Psychotherapy, Inc.
• East Side Psychotherapy, Inc.
• East Side Urgent Care LLC
• East Side Vision Care Inc

• Internal Medicine Physician in Providence, RI
• Providers in Providence, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.