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  5. Associates in Anesthesia, Inc.

Associates in Anesthesia, Inc.

Company Details

Name: Associates in Anesthesia, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 21 Jul 1992 (33 years ago)
Date of Dissolution: 23 Nov 2022 (2 years ago)
Date of Status Change: 23 Nov 2022 (2 years ago)
Identification Number: 000069026
ZIP code: 02904
County: Providence County
Principal Address: 200 HIGH SERVICE AVENUE, NORTH PROVIDENCE, RI, 02904, USA
Purpose: THE PRACTICE OF MEDICINE.
Fictitious names: St. Joseph Hospital School of Nurse Anesthesia (trading name, 2014-12-10 - 2021-08-31)
ST. JOSEPH HOSPITAL SCHOOL OF ANESTHESIA FOR NURSES (trading name, 2014-03-04 - 2021-08-31)
PRECISION PAIN TREATMENT CLINIC (trading name, 2014-03-04 - 2014-06-09)

Industry & Business Activity

NAICS

621111 Offices of Physicians (except Mental Health Specialists)

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau

Companies doing Offices of physicians (except mental health specialists)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235185679 2006-05-26 2013-06-14 200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI, 029045113, US 200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI, 029045113, US

Contacts
Phone +1 401-456-3136
Fax 4014563621

Authorized person
Name MS. CHERYL M GUGLIELMI
Role PRACTICE MANAGER
Phone 4014563136

Taxonomy
Taxonomy Code 207L00000X - Anesthesiology Physician
Is Primary Yes
Taxonomy Code 208VP0014X - Interventional Pain Medicine Physician
License Number MD07817
State RI
Is Primary No
Taxonomy Code 208VP0014X - Interventional Pain Medicine Physician
License Number MD13812
State RI
Is Primary No

Other Provider Identifiers
Issuer MEDICAID
Number 9002571
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ASSOCIATES IN ANESTHESIA, INC. 401(K) PROFIT SHARING PLAN 2018 050466669 2019-08-05 ASSOCIATES IN ANESTHESIA, INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 4014563139
Plan sponsor’s address 200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI, 029045113

Signature of
Role Plan administrator
Date 2019-08-05
Name of individual signing MICHELLE CONNOR
Valid signature Filed with authorized/valid electronic signature
ASSOCIATES IN ANESTHESIA, INC. 401(K) PROFIT SHARING PLAN 2018 050466669 2019-06-04 ASSOCIATES IN ANESTHESIA, INC. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 4014563139
Plan sponsor’s address 200 HIGH SERVICE AVENUE, NORTH PROVIDENCE, RI, 029045113
ASSOCIATES IN ANESTHESIA, INC. 401(K) PROFIT SHARING PLAN 2017 050466669 2018-09-06 ASSOCIATES IN ANESTHESIA, INC. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 4014563139
Plan sponsor’s address 200 HIGH SERVICE AVENUE, NORTH PROVIDENCE, RI, 029045113
ASSOCIATES IN ANESTHESIA, INC.401(K) PROFIT SHARING PLAN 2016 050466669 2017-08-23 ASSOCIATES IN ANESTHESIA, INC. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 4014563139
Plan sponsor’s address 200 HIGH SERVICE AVENUE, NORTH PROVIDENCE, RI, 029045113

Agent

Name Role Address
SUSAN LEACH DEBLASIO Agent ONE CITIZENS PLAZA 8TH FLOOR, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
JOHN D PRINSCOTT MD PRESIDENT 1 WEST EXCHANGE ST., STE. 2105 PROVIDENCE, RI 02903 USA

TREASURER

Name Role Address
STEVEN L MANCINI MD TREASURER 137 HIGH SERVICE AVENUE NORTH PROVIDENCE, RI 02911 USA

SECRETARY

Name Role Address
STEVEN L MANCINI MD SECRETARY 137 HIGH SERVICE AVENUE NORTH PROVIDENCE, RI 02911 USA

VICE PRESIDENT

Name Role Address
STEVEN LAWRENCE MANCINI MD VICE PRESIDENT 137 HIGH SERVICE AVENUE NORTH PROVIDENCE, RI 02911 USA

Filings

Number Name File Date
202224850070 Articles of Dissolution 2022-11-23
202213092320 Annual Report 2022-03-18
202100545120 Statement of Abandonment of Use of Fictitious Business Name 2021-08-31
202100544790 Statement of Abandonment of Use of Fictitious Business Name 2021-08-31
202187871200 Annual Report 2021-01-26
202034119950 Annual Report 2020-02-11
201988394190 Annual Report 2019-03-11
201858826330 Annual Report 2018-02-22
201730382390 Annual Report 2017-01-17
201691851050 Annual Report 2016-02-03

Related by officers

SUSAN LEACH DEBLASIO

Edgewood Fashion Design And Marketing Group, Inc. Shedd Data Corporation TOWN FINANCE CORP. Highland Court Services, Ltd. NULCO MFG. CORP. THE WEATHERVANE RETAIL CORP. Jewish Federation Foundation of Greater Rhode Island Architectural Lighting Systems, Inc. Hillel Foundation at the University of Rhode Island Highland Court, Inc.

Related by address

200 HIGH SERVICE AVENUE, NORTH PROVIDENCE, RI, 02904, USA

ANDRZEJ J. STANKIEWICZ, M.D., Ph.D., LTD. SJH Energy LLC James D. Thomas, M.D., P.C. S.J. Medical Staff, Inc. CORPORATE CARE, P.C. CharterCARE Our Lady of Fatima Hospital

Date of last update: 08 Apr 2025

Sources: Rhode Island Department of State

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