| Name: | ATMED Primary Care, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 20 Jun 2000 (25 years ago) |
| Date of Dissolution: | 20 Feb 2024 (a year ago) |
| Date of Status Change: | 20 Feb 2024 (a year ago) |
| Identification Number: | 000113096 |
| ZIP code: | 02919 |
| County: | Providence County |
| Principal Address: | 1524 ATWOOD AVENUE SUITE 340, JOHNSTON, RI, 02919, USA |
| Purpose: | TO OWN AND OPERATE A PRIMARY CARE FACILITY |
NAICS
621999 All Other Miscellaneous Ambulatory Health Care ServicesThis U.S. industry comprises establishments primarily engaged in providing ambulatory health care services (except offices of physicians, dentists, and other health practitioners; outpatient care centers; medical and diagnostic laboratories; home health care providers; ambulances; and blood and organ banks). Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750410361 | 2007-03-02 | 2020-08-22 | 1526 ATWOOD AVE, SUITE 220, JOHNSTON, RI, 029193289, US | 1526 ATWOOD AVE, SUITE 220, JOHNSTON, RI, 029193289, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 401-273-2339 |
| Fax | 4012727863 |
Authorized person
| Name | DR. STEPHEN SCOTT |
| Role | MEDICAL DIRECTOR |
| Phone | 4012725468 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| State | RI |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ATMED PRIMARY CARE INC 401 K PROFIT SHARING PLAN TRUST | 2017 | 050499018 | 2018-07-11 | ATMED PRIMARY CARE INC | 5 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2018-07-11 |
| Name of individual signing | ELAINE NARDUCCI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2013-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4012725468 |
| Plan sponsor’s address | 1524 ATWOOD AVE SUITE 225, JOHNSTON, RI, 02919 |
Signature of
| Role | Plan administrator |
| Date | 2017-06-07 |
| Name of individual signing | GINA MARAIA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2013-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4012725468 |
| Plan sponsor’s address | 1524 ATWOOD AVE SUITE 225, JOHNSTON, RI, 02919 |
Signature of
| Role | Plan administrator |
| Date | 2016-07-20 |
| Name of individual signing | GINA MARAIA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4012725468 |
| Plan sponsor’s address | 1524 ATWOOD AVE SUITE 225, JOHNSTON, RI, 02919 |
Signature of
| Role | Plan administrator |
| Date | 2015-07-20 |
| Name of individual signing | GINA MARAIA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4012725468 |
| Plan sponsor’s address | 1524 ATWOOD AVE, JOHNSTON, RI, 02919 |
Signature of
| Role | Plan administrator |
| Date | 2014-07-10 |
| Name of individual signing | GINA MARAIA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ELAINE NARDUCCI | Agent | 1524 ATWOOD AVENUE SUITE 225, JOHNSTON, RI, 02919, USA |
| Name | Role | Address |
|---|---|---|
| MICHAEL A ROCCHIO M.D. | PRESIDENT | 1524 ATWOOD AVENUE, STE. 220 JOHNSTON, RI 02919 USA |
| Name | Role | Address |
|---|---|---|
| WILLIAM J. BELIVEAU, M.D. | TREASURER | 1524 ATWOOD AVENUE, STE. 220 JOHNSTON, RI 02919 USA |
| Name | Role | Address |
|---|---|---|
| MICHAEL A ROCCHIO M.D. | DIRECTOR | 1524 ATWOOD AVENUE, STE. 200 JOHNSTON, RI 02919 USA |
| WILLIAM J. BELIVEAU, M.D. | DIRECTOR | 1524 ATWOOD AVENUE, STE. 220 JOHNSTON, RI 02919 USA |
| ROBERT BUONANNO, M.D. | DIRECTOR | 1524 ATWOOD AVENUE, STE. 220 JOHNSTON, RI 02919 USA |
| Name | Role | Address |
|---|---|---|
| ROBERT BUONANNO MD | VICE PRESIDENT | 1524 ATWOOD AVENUE, SUITE 340 JOHNSTON, RI 02919 USA |
| Number | Name | File Date |
|---|---|---|
| 202446883320 | Articles of Dissolution | 2024-02-20 |
| 202444645380 | Annual Report | 2024-01-24 |
| 202330015460 | Annual Report | 2023-03-06 |
| 202208164070 | Annual Report | 2022-01-19 |
| 202188105070 | Annual Report | 2021-01-28 |
| 202034867130 | Annual Report | 2020-02-21 |
| 201986566300 | Annual Report | 2019-02-13 |
| 201858299990 | Annual Report | 2018-02-14 |
| 201857697940 | Statement of Change of Registered/Resident Agent Office | 2018-02-06 |
| 201856488620 | Revocation Notice For Failure to Maintain a Registered Office | 2018-01-22 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2827218307 | 2021-01-21 | 0165 | PPS | 1524 Atwood Ave Ste 340, Johnston, RI, 02919-3228 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 8235977102 | 2020-04-15 | 0165 | PPP | 1524 Atwood Avenue 340, Johnston, RI, 02919 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 10 Apr 2025
Sources: Rhode Island Department of State
