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Providence Surgical Care Group, Incorporated

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Company Details

Name: Providence Surgical Care Group, Incorporated
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 06 Dec 1999 (26 years ago)
Date of Dissolution: 31 Dec 2024 (7 months ago)
Date of Status Change: 31 Dec 2024 (7 months ago)
Identification Number: 000109539
ZIP code: 02904
City: Providence
County: Providence County
Purpose: TO ENGAGE IN THE PRACTICE OF PROVIDING MEDICAL AND SURGICAL SERVICES.
Principal Address: Google Maps Logo 486 SILVER SPRING ST, PROVIDENCE, RI, 02904-1556, USA

Industry & Business Activity

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

Agent

Name Role Address
ROBERT PATTERSON, MD Agent 486 SILVER SPRING STREET, PROVIDENCE, RI, 02904, USA

TREASURER

Name Role Address
ROBERT B PATTERSON MD TREASURER 486 SILVER SPRING STREET PROVIDENCE, RI 02904 USA

SECRETARY

Name Role Address
ROBERT B PATTERSON MD SECRETARY 486 SILVER SPRING STREET PROVIDENCE, RI 02904 USA

PRESIDENT

Name Role Address
ROBERT B PATTERSON MD PRESIDENT 486 SILVER SPRING STREET PROVIDENCE, RI 02904 USA

VICE PRESIDENT

Name Role Address
ROBERT B PATTERSON MD VICE PRESIDENT 486 SILVER SPRING STREET PROVIDENCE, RI 02904 USA

OTHER OFFICER

Name Role Address
ROBERT B PATTERSON OTHER OFFICER 486 SILVER SPRING ST PROVIDENCE, RI 02904-1556 USA

DIRECTOR

Name Role Address
ROBERT B PATTERSON MD DIRECTOR 486 SILVER SPRING STREET PROVIDENCE, RI 02904 USA

National Provider Identifier

NPI Number:
1437232543

Authorized Person:

Name:
MR. ROBERT B PATTERSON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Is Primary:
No
Selected Taxonomy:
2086S0129X - Vascular Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
4014544281

Form 5500 Series

Employer Identification Number (EIN):
050508462
Plan Year:
2023
Number Of Participants:
5
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2023
Number Of Participants:
5
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2022
Number Of Participants:
6
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2021
Number Of Participants:
6
Plan Name:
401(K)
Sponsor's telephone number:
Plan Year:
2020
Number Of Participants:
6
Plan Name:
401(K)
Sponsor's telephone number:

Filings

Number Name File Date
202445870970 Annual Report 2024-02-04
202327483490 Annual Report 2023-02-03
202218298150 Annual Report 2022-06-05
202185919210 Annual Report 2021-01-12
202033025090 Annual Report 2020-01-26

Uniform Commercial Code

The Uniform Commercial Code (UCC) is a comprehensive set of laws governing all commercial transactions in the United States.

A UCC filing is a public notice of a secured transaction. A financing statement indicates a commercial agreement between a debtor and a secured party.

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
Filing Date:
2023-01-12
Action:
InitialFiling

Parties

Party Name:
Providence Surgical Care Group, Incorporated
Party Role:
Debtor(s)
Party Name:
WEBSTER BANK, N.A.
Party Role:
Secured Parties

USAspending Awards / Financial Assistance

Business Type:
SMALL BUSINESS
Date:
2021-02-04
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
$0
Face Value Of Loan:
$55,545
Total Face Value Of Loan:
$55,545
Business Type:
SMALL BUSINESS
Date:
2020-04-13
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
$0
Face Value Of Loan:
$73,245
Total Face Value Of Loan:
$73,245
Business Type:
SMALL BUSINESS
Date:
2013-12-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
PATRIOT EXPRESS
Obligated Amount:
$0
Face Value Of Loan:
$100,000
Total Face Value Of Loan:
$100,000

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$73,245
Date Approved:
2020-04-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$73,245
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Veteran
Forgiveness Amount:
$73,927.28
Servicing Lender:
Webster Bank National Association
Use of Proceeds:
Payroll: $73,245
Jobs Reported:
5
Initial Approval Amount:
$55,545
Date Approved:
2021-02-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$55,545
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Veteran
Forgiveness Amount:
$55,855.44
Servicing Lender:
Webster Bank National Association
Use of Proceeds:
Payroll: $55,544

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Date of last update: 10 Jul 2025

Sources: Rhode Island Department of State