Ocean State Neurosurgery, LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

MD9112 Issued in RI

Legal business name

OCEAN STATE NEUROSURGERY, LLC

Practice address

176 Toll Gate Rd
Suite 203
Warwick, RI 02886-4482

Phone

(401) 739-4988

Fax

(401) 739-4739

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Maria A Guglielmo, M.D.NPI 1063504512

Title

Sole/Proprietor

Phone

(401) 739-4988

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Maria A Guglielmo, M.D.

  • Neurological Surgery Physician
  • Warwick, RI
  • NPI 1063504512
  NPD (past) Authorized official
• Henry E Laurelli, M.D.

  • Neurological Surgery Physician
  • Warwick, RI
  • NPI 1285873943
  NPD (past)
• Holly A. Driscoll, PA-C

  • Surgical Physician Assistant
  • Milford, MA
  • NPI 1083640817
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264723200000",
    "number": "1659469062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 TOLL GATE RD",
            "address_2": "SUITE 203",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864482",
            "telephone_number": "401-739-4988",
            "fax_number": "401-739-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 TOLL GATE RD",
            "address_2": "SUITE 203",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864482",
            "telephone_number": "401-739-4988",
            "fax_number": "401-739-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN STATE NEUROSURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-01-29",
        "status": "A",
        "authorized_official_last_name": "GUGLIELMO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE/PROPRIETOR",
        "authorized_official_telephone_number": "401-739-4988",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "RI",
            "license": "MD9112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9004550",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ocean State Behavioral
• Ocean State Center for Independent Living
• Ocean State Dermatology, Inc (Ocean State Dermatology)
• Ocean State Eye Care
• Ocean State Home Health Care, Inc.
• Ocean State Physical Therapy, Inc.
• Ocean State Podiatry & Associates, LLC
• Ocean State Primary Care LLC
• Ocean State Primary, LLC
• Ocean State Urgent Care Center of Warwick, LLC

• Neurological Surgery Physician in Warwick, RI
• Providers in Warwick, RI by specialty
• Neurological Surgery Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.