| Name: | Physicians of Rhode Island Medical Enterprises, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 14 Mar 2000 (25 years ago) |
| Identification Number: | 000111374 |
| ZIP code: | 02865 |
| County: | Providence County |
| Principal Address: | 8 CHRISTOPHER DRIVE, LINCOLN, RI, 02865, USA |
| Purpose: | MEDICAL CONSULTING |
| Fictitious names: |
Body Evolution Wellness, Longevity & Weight Loss Centers (trading name, 2011-07-21 - ) A Way To Wellness (trading name, 2004-05-25 - ) Spa Doctors (trading name, 2004-04-23 - ) |
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 | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063402964 | 2005-10-24 | 2011-02-07 | PO BOX 27, MANVILLE, RI, 028380027, US | 106 NATE WHIPPLE HWY, SUITE 101 CUMBERLAND MEDICAL CENTER, CUMBERLAND, RI, 028641403, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 800-927-0002 |
| Fax | 6038901236 |
| Phone | +1 401-658-2020 |
| Fax | 4016583612 |
Authorized person
| Name | SCOTT WILSON |
| Role | PRESIDENT |
| Phone | 4016582020 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | PR32677 |
| State | RI |
| Issuer | TUFTS |
| Number | 685836 |
| State | MA |
| Name | Role | Address |
|---|---|---|
| SCOTT WILSON M.D. | PRESIDENT | 8 CHRISTOPHER DRIVE LINCOLN, RI 02865 USA |
| Name | Role | Address |
|---|---|---|
| SCOTT WILSON M.D. | TREASURER | 8 CHRISTOPHER DRIVE LINCOLN, RI 02865 USA |
| Name | Role | Address |
|---|---|---|
| SCOTT WILSON M.D. | SECRETARY | 8 CHRISTOPHER DRIVE LINCOLN, RI 02865 USA |
| Name | Role | Address |
|---|---|---|
| STEPHEN D. ZUBIAGO, ESQ. | Agent | NIXON PEABODY LLP ONE CITIZENS PLAZA SUITE 500, PROVIDENCE, RI, 02903, USA |
| Number | Name | File Date |
|---|---|---|
| 202447512300 | Annual Report | 2024-02-29 |
| 202329687300 | Annual Report | 2023-03-01 |
| 202213281580 | Annual Report | 2022-03-23 |
| 202191275290 | Annual Report | 2021-02-15 |
| 202034900800 | Annual Report | 2020-02-21 |
| 201987332030 | Annual Report | 2019-02-22 |
| 201861020110 | Annual Report | 2018-03-26 |
| 201749219180 | Annual Report | 2017-09-05 |
| 201747758960 | Revocation Notice For Failure to File An Annual Report | 2017-07-27 |
| 201694172990 | Annual Report | 2016-03-11 |
Date of last update: 10 Apr 2025
Sources: Rhode Island Department of State
