Angels Medical Associates LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

RI09384 Issued in RI

Legal business name

ANGELS MEDICAL ASSOCIATES LLC

Practice address

1524 Atwood Ave
Suite 327
Johnston, RI 02919-3228

Phone

(401) 383-0400

Fax

(401) 383-0410

NPI assigned

Dec 9, 2014

Organization subpart

No

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

Authorized official

Name

P. Wilfredo Canchis, MD

Title

Owner

Phone

(401) 383-0400

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

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

• P Wilfredo Canchis, MD

  • Internal Medicine Physician
  • Johnston, RI
  • NPI 1518018811

  Internal Medicine, RI

  Medicare reassignment NPD
• Melix Diaz, APRN

  • Family Nurse Practitioner
  • Johnston, RI
  • NPI 1568124337

  RI

  Medicare reassignment NPD
• Maria A Bermudez, PHYSICIAN ASST PAC

  • Physician Assistant
  • Pawtucket, RI
  • NPI 1578588166
  NPD (past)
• Vincent Fiore Vacca, MD

  • Gastroenterology Physician
  • Johnston, RI
  • NPI 1407832595

  Gastroenterology

  NPD (past)

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1922406875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE",
            "address_2": "SUITE 327",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-383-0400",
            "fax_number": "401-383-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE",
            "address_2": "SUITE 327",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-383-0400",
            "fax_number": "401-383-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "CANCHIS",
        "authorized_official_first_name": "P. WILFREDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-383-0400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "RI09384",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "RI",
            "license": "RI09384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• McKayla Arbige, MASTERS
• Michel Albert Arcand, M.D.

• Gastroenterology Physician in Johnston, RI
• Providers in Johnston, RI by specialty
• Gastroenterology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.