| Name: | North Smithfield Podiatry, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 15 Jan 1999 (26 years ago) |
| Identification Number: | 000104511 |
| ZIP code: | 02896 |
| County: | Providence County |
| Principal Address: | 249 EDDIE DOWLING HIGHWAY, NORTH SMITHFIELD, RI, 02896, USA |
| Purpose: | PODIATRY SERVICES |
| NAICS: | 541611 - Administrative Management and General Management Consulting Services |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780748806 | 2006-12-21 | 2011-06-21 | 249 EDDIE DOWLING HIGHWAY, NORTH SMITHFIELD, RI, 02896, US | 249 EDDIE DOWLING HIGHWAY, NORTH SMITHFIELD, RI, 02896, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 401-769-5611 |
| Fax | 4017696238 |
Authorized person
| Name | MR. JAMES C SULLIVAN |
| Role | PODIATRIST OWNER |
| Phone | 4017695611 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| License Number | DPM |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9007057 |
| State | RI |
| Issuer | UHC |
| Number | 2700284 |
| Issuer | RAILROAD MED |
| Number | 480021635 |
| Issuer | TUFTS |
| Number | 000262 |
| Issuer | AETNA |
| Number | 0005952117 |
| Issuer | HARVARD |
| Number | 33235 |
| Issuer | BLUE CHIP |
| Number | 004962 |
| Issuer | NEIGHBORHOOD |
| Number | 1506 |
| Issuer | AARP MED |
| Number | 000917250002 |
| Name | Role | Address |
|---|---|---|
| JAMES C. SULLIVAN | Agent | 249 EDDIE DOWLING HIGHWAY, NORTH SMITHFIELD, RI, 02896, USA |
| Name | Role | Address |
|---|---|---|
| JAMES C SULLIVAN MD | PRESIDENT | 249 EDDIE DOWLING HIGHWAY NORTH SMITHFIELD, RI 02896- USA |
| Name | Role | Address |
|---|---|---|
| JAMES SULLIVAN SULLIVAN | OTHER OFFICER | 249 EDDIE DOWLING HWY NORTH SMITHFIELD, RI 02896 223 |
| JAMES SULLIVAN | OTHER OFFICER | 249 EDDIE DOWLING HIGHWAY NORTH SMITHFIELD, RI 02896 USA |
| Number | Name | File Date |
|---|---|---|
| 202452382130 | Annual Report | 2024-04-24 |
| 202328384020 | Annual Report | 2023-02-08 |
| 202210168460 | Annual Report | 2022-02-12 |
| 202197262230 | Annual Report | 2021-05-28 |
| 202196790130 | Revocation Notice For Failure to File An Annual Report | 2021-05-19 |
| 202035737540 | Annual Report | 2020-03-02 |
| 201986326940 | Annual Report | 2019-02-11 |
| 201856941260 | Annual Report | 2018-01-29 |
| 201731294890 | Annual Report | 2017-02-01 |
| 201691495290 | Annual Report | 2016-01-29 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
