Individual provider Active NPI

Gary Michael Vinokur

  • Physician Assistant
  • Woonsocket, RI
National Provider Identifier
1760728737
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
115 Cass Ave
Landmark Medical Center
Woonsocket, RI 02895-4705
Phone
(401) 769-4100
NPI assigned
Dec 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

115 Cass Ave
Landmark Medical Center
Woonsocket, RI 02895-4705

Mailing address

71 Cranberry Meadow Rd
Spencer, MA 01562-3003
Phone (508) 320-7316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130328000166 MA Practitioner - Physician Assistant 5698910321 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Cod Hospital Inc Current Accepting new patients
Athol Memorial Hospital Incorporated Physician Assistant CurrentSince Jul 1, 2019 Accepting new patients
Henry Heywood Memorial Hospital Physician Assistant CurrentSince Sep 1, 2013 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Oct 1, 2019 Accepting new patients
Step Ri, PC Past Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

100 South St
Southbridge, MA 01550
Phone (508) 764-8012

115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701

Interoperability endpoints

  • Direct secure messaging: gvinokur44315@direct.capecodhealthcare.masshiway.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1760728737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 CRANBERRY MEADOW RD",
            "city": "SPENCER",
            "state": "MA",
            "postal_code": "015623003",
            "telephone_number": "508-320-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CASS AVE",
            "address_2": "LANDMARK MEDICAL CENTER",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954705",
            "telephone_number": "401-769-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINOKUR",
        "first_name": "GARY",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-20",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.