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  5. CONSULTANTS IN GASTROENTEROLOGY, INC.

CONSULTANTS IN GASTROENTEROLOGY, INC.

Company Details

Name: CONSULTANTS IN GASTROENTEROLOGY, INC.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 24 Aug 1992 (32 years ago)
Date of Dissolution: 04 Jan 2016 (9 years ago)
Date of Status Change: 04 Jan 2016 (9 years ago)
Identification Number: 000069367
ZIP code: 02904
County: Providence County
Principal Address: 148 WEST RIVER STREET SUITE 3, PROVIDENCE, RI, 02904, USA
Purpose: THE PROVISION OF MEDICAL CARE TO PATIENTS BY DULY LICENSED PHYSICIANS.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1386680247 2006-06-21 2020-08-22 148 W RIVER ST, SUITE 3, PROVIDENCE, RI, 029042609, US 148 W RIVER ST, SUITE 3, PROVIDENCE, RI, 029042609, US

Contacts
Phone +1 401-421-6306
Fax 4014530330

Authorized person
Name ROSE MORTON
Role PRACTICE MANAGER
Phone 4014216306

Taxonomy
Taxonomy Code 207RG0100X - Gastroenterology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CONSULTANTS IN GASTROENTEROLOGY, INC. RETIREMENT PLAN 2014 050467037 2015-11-17 CONSULTANTS IN GASTROENTEROLOGY, INC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4014216306
Plan sponsor’s address 148 WEST RIVER STREET, PROVIDENCE, RI, 029042615

Signature of
Role Plan administrator
Date 2015-11-17
Name of individual signing JOEL SPELLUN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-11-17
Name of individual signing JOEL SPELLUN
Valid signature Filed with authorized/valid electronic signature
CONSULTANTS IN GASTROENTEROLOGY, INC. RETIREMENT PLAN 2014 050467037 2015-05-26 CONSULTANTS IN GASTROENTEROLOGY, INC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4014216306
Plan sponsor’s address 148 WEST RIVER STREET, PROVIDENCE, RI, 029042615

Signature of
Role Plan administrator
Date 2015-05-26
Name of individual signing JOEL SPELLUN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-26
Name of individual signing JOEL SPELLUN
Valid signature Filed with authorized/valid electronic signature
CONSULTANTS IN GASTROENTEROLOGY, INC. RETIREMENT PLAN 2013 050467037 2014-04-28 CONSULTANTS IN GASTROENTEROLOGY, INC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4014216306
Plan sponsor’s address 148 WEST RIVER STREET, PROVIDENCE, RI, 029042615

Signature of
Role Plan administrator
Date 2014-04-28
Name of individual signing JOEL SPELLUN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-28
Name of individual signing JOEL SPELLUN
Valid signature Filed with authorized/valid electronic signature
CONSULTANTS IN GASTROENTEROLOGY, INC. RETIREMENT PLAN 2012 050467037 2013-05-30 CONSULTANTS IN GASTROENTEROLOGY, INC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4014216306
Plan sponsor’s address 148 WEST RIVER STREET, PROVIDENCE, RI, 029042615

Signature of
Role Plan administrator
Date 2013-05-30
Name of individual signing JOEL SPELLUN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-30
Name of individual signing JOEL SPELLUN
Valid signature Filed with authorized/valid electronic signature
CONSULTANTS IN GASTROENTEROLOGY, INC. RETIREMENT PLAN 2011 050467037 2012-05-21 CONSULTANTS IN GASTROENTEROLOGY, INC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4014216306
Plan sponsor’s address 148 WEST RIVER STREET, PROVIDENCE, RI, 029042615

Plan administrator’s name and address
Administrator’s EIN 050467037
Plan administrator’s name CONSULTANTS IN GASTROENTEROLOGY, INC
Plan administrator’s address 148 WEST RIVER STREET, PROVIDENCE, RI, 029042615
Administrator’s telephone number 4014216306

Signature of
Role Plan administrator
Date 2012-05-21
Name of individual signing JOEL SPELLUN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-21
Name of individual signing JOEL SPELLUN
Valid signature Filed with authorized/valid electronic signature
CONSULTANTS IN GASTROENTEROLOGY, INC. RETIREMENT PLAN 2010 050467037 2011-09-07 CONSULTANTS IN GASTROENTEROLOGY, INC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4014216306
Plan sponsor’s address 148 WEST RIVER STREET, PROVIDENCE, RI, 029042615

Plan administrator’s name and address
Administrator’s EIN 050467037
Plan administrator’s name CONSULTANTS IN GASTROENTEROLOGY, INC
Plan administrator’s address 148 WEST RIVER STREET, PROVIDENCE, RI, 029042615
Administrator’s telephone number 4014216306

Signature of
Role Plan administrator
Date 2011-09-07
Name of individual signing JOEL SPELLUN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-07
Name of individual signing JOEL SPELLUN
Valid signature Filed with authorized/valid electronic signature
CONSULTANTS IN GASTROENTEROLOGY, INC. RETIREMENT PLAN 2009 050467037 2010-08-26 CONSULTANTS IN GASTROENTEROLOGY, INC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 4014216306
Plan sponsor’s address 148 WEST RIVER STREET, PROVIDENCE, RI, 029042615

Plan administrator’s name and address
Administrator’s EIN 050467037
Plan administrator’s name CONSULTANTS IN GASTROENTEROLOGY, INC
Plan administrator’s address 148 WEST RIVER STREET, PROVIDENCE, RI, 029042615
Administrator’s telephone number 4014216306

Signature of
Role Plan administrator
Date 2010-08-26
Name of individual signing JOEL SPELLUN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-26
Name of individual signing JOEL SPELLUN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
E. COLBY CAMERON, ESQ. Agent 301 PROMENADE STREET, PROVIDENCE, RI, 02908, USA

PRESIDENT

Name Role Address
JOEL S SPELLUN MD PRESIDENT 148 WEST RIVER STREET, SUITE 3 PROVIDENCE, RI 02904- USA

Filings

Number Name File Date
201689986810 Articles of Dissolution 2016-01-04
201585669420 Annual Report 2015-10-23
201578275810 Revocation Notice For Failure to File An Annual Report 2015-09-08
201437661130 Annual Report 2014-03-24
201313635790 Annual Report 2013-03-07
201291482690 Annual Report 2012-03-28
201176636590 Annual Report 2011-03-16
201058952190 Annual Report 2010-02-23
200943647160 Annual Report 2009-03-04
200942127320 Statement of Change of Registered/Resident Agent Office 2009-02-14

Related by officers

E. COLBY CAMERON, ESQ.

AC Holdings, Inc. The Chisholm RIP Corp. CHOQUETTE & CO., INC. CHURCH TRAVEL AGENCY, INC. Certified Automotive, Inc. Memorial X-Ray Services, Ltd. Periodontics, Inc. D. L. Thurrott RIP, Inc. Sinel, Wilfand & Vinci, Certified Public Accountants, Inc. O'NEILL MEDICAL, INC.

JOEL S SPELLUN MD

Ocean State Endoscopy, Inc.

Related by address

No related companies by address

Date of last update: 07 Oct 2024

Sources: Rhode Island Department of State

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