| Name: | Sara Granoff Schor, DPM, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 18 Nov 1998 (26 years ago) |
| Date of Dissolution: | 01 Dec 2015 (9 years ago) |
| Date of Status Change: | 01 Dec 2015 (9 years ago) |
| Identification Number: | 000103497 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 323 LAUREL AVENUE, PROVIDENCE, RI, 02906, USA |
| Purpose: | TO ENGAGE IN THE PRACTICE OF PODIATRIC MEDICINE AND ALL RELATED SERVICES AND ACTIVITIES. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942351507 | 2007-01-12 | 2023-03-07 | 960 RESERVOIR AVE, SUITE 11, CRANSTON, RI, 029104446, US | 960 RESERVOIR AVE, SUITE 11, CRANSTON, RI, 029104446, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 401-944-4770 |
| Fax | 4019444771 |
Authorized person
| Name | DR. SARA ROBIN GRANOFF-SCHOR |
| Role | DOCTOR |
| Phone | 4019444770 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| License Number | DPM00226 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| License Number | DPM00257 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | TUFTS |
| Number | 000257 |
| State | RI |
| Issuer | BLUE CHIP |
| Number | 004590 |
| State | RI |
| Issuer | AETNA |
| Number | 2262449 |
| State | RI |
| Issuer | UNITED HEALTHCARE |
| Number | 27-00172 |
| State | RI |
| Issuer | RAILROAD MEDICARE |
| Number | 480026885 |
| State | RI |
| Issuer | MEDICAID |
| Number | SG07157 |
| State | RI |
| Issuer | NPI |
| Number | 1942351507 |
| State | RI |
| Issuer | PILGRIM |
| Number | 33398 |
| State | RI |
| Issuer | CIGNA |
| Number | 0137578005 |
| State | RI |
| Issuer | BLUE CROSS MASSACHUSETTS |
| Number | 70010000ZBC069 |
| State | RI |
| Issuer | BLUE CROSS |
| Number | 7064-4 |
| State | RI |
| Issuer | RI LICENSE |
| Number | DPM00257 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| ADLER POLLOCK & SHEEHAN P.C. | Agent | ONE CITIZENS PLAZA 8TH FLOOR, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| SARA GRANOFF SCHOR | SECRETARY | 323 LAUREL AVE. PROVIDENCE, RI 02906 USA |
| Name | Role | Address |
|---|---|---|
| SARA GRANOFF SCHOR | TREASURER | 323 LAUREL AVE. PROVIDENCE, RI 02906 USA |
| Name | Role | Address |
|---|---|---|
| SARA GRANOFF SCHOR | PRESIDENT | 323 LAUREL AVE. PROVIDENCE, RI 02906 USA |
| Number | Name | File Date |
|---|---|---|
| 201588614760 | Revocation Certificate For Failure to File the Annual Report for the Year | 2015-12-01 |
| 201578300990 | Revocation Notice For Failure to File An Annual Report | 2015-09-08 |
| 201442099430 | Annual Report | 2014-06-30 |
| 201439461080 | Revocation Notice For Failure to File An Annual Report | 2014-05-20 |
| 201324270500 | Annual Report | 2013-06-20 |
| 201321860290 | Revocation Notice For Failure to File An Annual Report | 2013-06-03 |
| 201288847080 | Annual Report | 2012-02-01 |
| 201175441050 | Annual Report | 2011-02-23 |
| 201058447920 | Annual Report | 2010-02-16 |
| 200942081730 | Annual Report | 2009-02-13 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
