| Name: | Greenwich Podiatry, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 30 Dec 1992 (32 years ago) |
| Date of Dissolution: | 13 Sep 2013 (11 years ago) |
| Date of Status Change: | 13 Sep 2013 (11 years ago) |
| Identification Number: | 000070848 |
| ZIP code: | 02818 |
| County: | Kent County |
| Principal Address: | 694 MAIN STREET, EAST GREENWICH, RI, 02818, USA |
| Purpose: | PROFESSIONAL PODIATRY SERVICES. |
| Historical names: |
Nancy Waterman Company, Inc. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467530337 | 2006-11-01 | 2008-03-07 | 694 MAIN ST, EAST GREENWICH, RI, 028183500, US | 694 MAIN ST, EAST GREENWICH, RI, 028183500, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 401-884-2821 |
| Fax | 4018844350 |
Authorized person
| Name | MS. NANCY WATERMAN |
| Role | OWNER |
| Phone | 4018842821 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NEIGHBORHOOD HEALTH PLANS |
| Number | 0404 |
| State | RI |
| Issuer | MEDICAID |
| Number | 9004161 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| E. COLBY CAMERON, ESQ. | Agent | 301 PROMENADE STREET, PROVIDENCE, RI, 02908, USA |
| Name | Role | Address |
|---|---|---|
| NANCY E. WATERMAN D.P.M. | TREASURER | 694 MAIN STREET EAST GREENWICH, RI 02818 USA |
| Name | Role | Address |
|---|---|---|
| NANCY E. WATERMAN D.P.M. | SECRETARY | 694 MAIN STREET EAST GREENWICH, RI 02818 USA |
| Name | Role | Address |
|---|---|---|
| NANCY E WATERMAN DPM | PRESIDENT | 694 MAIN STREET EAST GREENWICH, RI 02818 USA |
| Name | Role | Address |
|---|---|---|
| NANCY E. WATERMAN D.P.M. | VICE PRESIDENT | 694 MAIN STREET EAST GREENWICH, RI 02818 USA |
| Name | Role | Address |
|---|---|---|
| NANCY E. WATERMAN D.P.M. | DIRECTOR | 694 MAIN STREET EAST GREENWICH, RI 02818 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 1993-04-12 | Nancy Waterman Company, Inc. | Greenwich Podiatry, Inc. |
| Number | Name | File Date |
|---|---|---|
| 201328150790 | Articles of Dissolution | 2013-09-13 |
| 201311283290 | Annual Report | 2013-02-08 |
| 201289709530 | Annual Report | 2012-02-15 |
| 201176152180 | Annual Report | 2011-03-01 |
| 201060091560 | Annual Report | 2010-03-10 |
| 200943646550 | Annual Report | 2009-03-04 |
| 200942468360 | Statement of Change of Registered/Resident Agent Office | 2009-02-20 |
| 200807926480 | Annual Report | 2008-03-11 |
Date of last update: 07 Oct 2024
Sources: Rhode Island Department of State
