A Wakefield Walk-in & Primary Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

A WAKEFIELD WALK-IN & PRIMARY CARE LLC

Practice address

553 Kingstown Rd
Wakefield, RI 02879-3600

Phone

(401) 932-5526

Fax

(401) 789-1327

NPI assigned

Oct 15, 2008

Organization subpart

Yes

Parent organization

A WAKEFILD WALK-IN & PRIMARY CAREAs reported in NPPES

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

Authorized official

Name

Lloyd B Eden, PHYSICIAN ASSISTANT

Title

Owner

Phone

(401) 284-1515

Specialties & licenses 1

Addresses

Other names 1

• Bald Hill Walk-In Doing business as

Part of

A Wakefield Walk-in Primar

Locations

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1962654426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 KINGSTOWN RD",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793600",
            "telephone_number": "401-932-5526",
            "fax_number": "401-789-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 KINGSTOWN RD",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793600",
            "telephone_number": "401-932-5526",
            "fax_number": "401-789-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A WAKEFIELD WALK-IN & PRIMARY CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A WAKEFILD WALK-IN & PRIMARY CARE",
        "enumeration_date": "2008-10-15",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "EDEN",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-284-1515",
        "authorized_official_credential": "PHYSICIAN ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bald Hill Walk-In",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Abbaticola, MSN, APRN, PMHNP-BC
• Salvatore R Abbruzzese Jr., D.O. PC
• Maryann Abney, APRN
• Jacob T Abraham, MD
• Adeline Laplante Memorial Center

• Primary Care Clinic/Center in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Primary Care Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.