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  5. Rhode Island Surgeons, Inc.

Rhode Island Surgeons, Inc.

Company Details

Name: Rhode Island Surgeons, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 09 Jul 2003 (22 years ago)
Date of Dissolution: 21 Feb 2019 (6 years ago)
Date of Status Change: 21 Feb 2019 (6 years ago)
Identification Number: 000133159
ZIP code: 02919
County: Providence County
Principal Address: 1539 ATWOOD AVENUE SUITE 201, JOHNSTON, RI, 02919, USA
Purpose: TO PROVIDE HEALTH CARE TO PATIENTS
NAICS: 621399 - Offices of All Other Miscellaneous Health Practitioners
Historical names: Drs. Lentrichia & Pohl, Inc.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376566257 2006-07-25 2007-12-04 1539 ATWOOD AVENUE, SUITE 201, JOHNSTON, RI, 02919, US 1539 ATWOOD AVENUE, SUITE 201, JOHNSTON, RI, 02919, US

Contacts
Phone +1 401-521-6310
Fax 4018619596

Authorized person
Name DR. PAUL F LENTRICHIA
Role PRESIDENT
Phone 4015216310

Taxonomy
Taxonomy Code 208600000X - Surgery Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number LP51727
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RHODE ISLAND SURGEONS, INC. PROFIT SHARING PLAN 2017 542117194 2018-08-31 RHODE ISLAND SURGEONS, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4015216310
Plan sponsor’s address 1539 ATWOOD AVENUE, SUITE 201, JOHNSTON, RI, 02919
RHODE ISLAND SURGEONS, INC. PROFIT SHARING PLAN 2016 542117194 2017-09-26 RHODE ISLAND SURGEONS, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4015216310
Plan sponsor’s address 1539 ATWOOD AVENUE, SUITE 201, JOHNSTON, RI, 02919
RHODE ISLAND SURGEONS INC. DEFINED BENEFIT PENSION PLAN 2013 542117194 2014-02-06 RHODE ISLAND SURGEONS, INC. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4015216310
Plan sponsor’s address 1539 ATWOOD AVENUE, SUITE 201, JOHNSTON, RI, 029193262

Plan administrator’s name and address
Administrator’s EIN 542117194
Plan administrator’s name RHODE ISLAND SURGEONS, INC.
Plan administrator’s address 1539 ATWOOD AVENUE, SUITE 201, JOHNSTON, RI, 029193262
Administrator’s telephone number 4015216310

Signature of
Role Plan administrator
Date 2014-02-06
Name of individual signing DIETER POHL
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND SURGEONS INC. DEFINED BENEFIT PENSION PLAN 2012 542117194 2013-02-20 RHODE ISLAND SURGEONS, INC. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4015216310
Plan sponsor’s address 1539 ATWOOD AVENUE, SUITE 201, JOHNSTON, RI, 029193262

Plan administrator’s name and address
Administrator’s EIN 542117194
Plan administrator’s name RHODE ISLAND SURGEONS, INC.
Plan administrator’s address 1539 ATWOOD AVENUE, SUITE 201, JOHNSTON, RI, 029193262
Administrator’s telephone number 4015216310

Signature of
Role Plan administrator
Date 2013-02-20
Name of individual signing DIETER POHL
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND SURGEONS INC. DEFINED BENEFIT PENSION PLAN 2011 542117194 2012-10-15 RHODE ISLAND SURGEONS, INC. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4015216310
Plan sponsor’s address 1539 ATWOOD AVENUE, SUITE 201, JOHNSTON, RI, 029193262

Plan administrator’s name and address
Administrator’s EIN 542117194
Plan administrator’s name RHODE ISLAND SURGEONS, INC.
Plan administrator’s address 1539 ATWOOD AVENUE, SUITE 201, JOHNSTON, RI, 029193262
Administrator’s telephone number 4015216310

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing DIETER POHL
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND SURGEONS INC DEFINED BENEFIT PENSION 2009 542117194 2011-11-29 RHODE ISLAND SURGEONS INC No data
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 4015216310
Plan sponsor’s mailing address 1539 ATWOOD AVE STE 201, JOHNSTON, RI, 02919
Plan sponsor’s address 1539 ATWOOD AVE STE 201, JOHNSTON, RI, 02919

Plan administrator’s name and address
Administrator’s EIN 542117194
Plan administrator’s name RHODE ISLAND SURGEONS INC
Plan administrator’s address 1539 ATWOOD AVE STE 201, JOHNSTON, RI, 02919
Administrator’s telephone number 4015216310

Agent

Name Role Address
DON E. WINEBERG, ESQ. Agent ONE PARK ROW SUITE 300, PROVIDENCE, RI, 02903, USA

SECRETARY

Name Role Address
JOHN PHILLIP MD SECRETARY 1524 ATWOOD AVENUE JOHNSTON, RI 02919 USA

PRESIDENT

Name Role Address
PAUL F LENTRICHIA MD PRESIDENT 1539 ATWOOD AVENUE SUITE 201 JOHNSTON, RI 02919- USA

VICE PRESIDENT

Name Role Address
DIETER POHL MD VICE PRESIDENT 1539 ATWOOD AVENUE JOHNSTON, RI 02919 USA

Events

Type Date Old Value New Value
Name Change 2006-08-28 Drs. Lentrichia & Pohl, Inc. Rhode Island Surgeons, Inc.

Filings

Number Name File Date
201987272020 Articles of Dissolution 2019-02-21
201881139140 Annual Report 2018-11-14
201875503850 Revocation Notice For Failure to File An Annual Report 2018-08-24
201749777040 Annual Report 2017-09-15
201747779190 Revocation Notice For Failure to File An Annual Report 2017-07-27
201692247960 Annual Report 2016-02-10
201552785230 Annual Report 2015-01-06
201435782080 Annual Report 2014-02-19
201308604550 Annual Report 2013-01-10
201288268100 Annual Report 2012-01-20

Related by officers

DON E. WINEBERG, ESQ.

Tri-County Community Action Agency PETECO CONSTRUCTION, INC. PSYCHIATRY FOUNDATION OF RHODE ISLAND, INC. Preferred Laboratories, Inc. Brown Emergency Medicine LIFESPAN PHYSICIANS IPA, INC. St. Joseph Physician-Hospital Alliance, Inc. New England Physician Alliance The CHC Enterprise, Inc. Psychotherapy Consultants, Inc.

Related by address

No related companies by address

Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State

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