Hassan-Ettensohn Medical Specialists, LTD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

9817 Issued in RI

Legal business name

HASSAN-ETTENSOHN MEDICAL SPECIALISTS, LTD

Doing business as

Hassan-Ettensohn Medical Specialists, LTD

Practice address

73 Beechwood Ave
Pawtucket, RI 02860-5409

Phone

(401) 724-4040

Fax

(401) 722-9575

NPI assigned

May 2, 2007

Last updated

Jul 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Bruce Ettensohn, MDNPI 1134186067

Title

Vice President

Phone

(401) 724-4040

Specialties & licenses 5

Addresses

Other names 1

• Hassan-Ettensohn Medical Specialists, LTD Doing business as

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.

• David B Ettensohn, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Pawtucket, RI
  • NPI 1134186067
  Authorized official Same address or phone

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1861613200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 BEECHWOOD AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605409",
            "telephone_number": "401-724-4040",
            "fax_number": "401-722-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 BEECHWOOD AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605409",
            "telephone_number": "401-724-4040",
            "fax_number": "401-722-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASSAN-ETTENSOHN MEDICAL SPECIALISTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "ETTENSOHN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "401-724-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "RI",
            "license": "6164",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "RI",
            "license": "9817",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "RI",
            "license": "6245",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "RI",
            "license": "6164",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "RI",
            "license": "9817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hassan-Ettensohn Medical Specialists, LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harold Horwitz MD and Joseph Lombardozzi (Rheumatology Associates)
• Linda Devere Harrington, MS CCCSLP
• Kody Harrison, MSW, LICSW
• Allicia Harry-Hector
• Eugene Patrick Hart Jr.
• Linda Rosarina Hassan, MD
• Ata Ollah Hassani Afshar, M.D.
• Haven Health Center of Pawtucket, LLC
• Kristen Marie Haviland, FNP
• Tawfik F Hawwa, MD

• Pulmonary Disease Physician in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Pulmonary Disease Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.