Name: | Seacoast Thoracic and Cardiovascular Surgery, Inc. |
Jurisdiction: | Rhode Island |
Entity type: | Professional Service Corporation |
Status: | Dissolved |
Date of Organization in Rhode Island: | 10 Jul 1996 (29 years ago) |
Date of Dissolution: | 24 Apr 2023 (2 years ago) |
Date of Status Change: | 24 Apr 2023 (2 years ago) |
Identification Number: | 000090388 |
ZIP code: | 02904 |
County: | Providence County |
Principal Address: | ONE RANDALL SQUARE SUITE 414, PROVIDENCE, RI, 02904, USA |
Purpose: | THE GENERAL PRACTICE OF MEDICINE. |
Historical names: |
Anthony L. Moulton, M.D., Inc. |
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
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1841470051 | 2007-11-06 | 2015-08-19 | ONE RANDALL SQUARE, SUITE 414, PROVIDENCE, RI, 02904, US | 1 RANDALL SQ, SUITE 414, PROVIDENCE, RI, 029042709, US | |||||||||||||||||||
|
Phone | +1 401-331-4175 |
Fax | 4013315718 |
Authorized person
Name | DR. ANTHONY L MOULTON |
Role | PRESIDENT |
Phone | 4013314175 |
Taxonomy
Taxonomy Code | 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
License Number | 07965 |
State | RI |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
GIRARD R. VISCONTI, ESQ. | Agent | 564 SOUTH WATER STREET, PROVIDENCE, RI, 02903, USA |
Name | Role | Address |
---|---|---|
ANTHONY L. MOULTON MD | PRESIDENT | ONE RANDALL SQUARE, SUITE 414 PROVIDENCE, RI 02904 USA |
Name | Role | Address |
---|---|---|
ANTHONY L MOULTON MD | TREASURER | ONE RANDALL SQUARE STE 414 PROVIDENCE, RI 02904 USA |
Name | Role | Address |
---|---|---|
ANTHONY L MOULTON MD | SECRETARY | ONE RANDALL SQ. STE 414 PROVIDENCE, RI 02904 USA |
Type | Date | Old Value | New Value |
---|---|---|---|
Name Change | 1997-09-15 | Anthony L. Moulton, M.D., Inc. | Seacoast Thoracic and Cardiovascular Surgery, Inc. |
Number | Name | File Date |
---|---|---|
202333674510 | Articles of Dissolution | 2023-04-24 |
202211426820 | Annual Report | 2022-02-23 |
202198774570 | Statement of Change of Registered Office by the Registered Agent | 2021-06-29 |
202197112490 | Annual Report | 2021-05-21 |
202196777320 | Revocation Notice For Failure to File An Annual Report | 2021-05-19 |
202196009430 | Statement of Change of Registered Office by the Registered Agent | 2021-04-27 |
201927480450 | Annual Report | 2019-11-14 |
201984257750 | Annual Report | 2019-01-11 |
201856274890 | Annual Report | 2018-01-17 |
201627908560 | Annual Report | 2016-11-23 |
Date of last update: 09 Apr 2025
Sources: Rhode Island Department of State