| Name: | Arthritis Center of Rhode Island, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 01 Oct 2004 (20 years ago) |
| Date of Dissolution: | 29 Jul 2021 (4 years ago) |
| Date of Status Change: | 29 Jul 2021 (4 years ago) |
| Identification Number: | 000143014 |
| ZIP code: | 02865 |
| County: | Providence County |
| Principal Address: | 132 OLD RIVER ROAD, LINCOLN, RI, 02865, USA |
| Purpose: | TREATMENT OF MEDICINE SPECIALIZING IN ARTHRITIC DISORDERS |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Fictitious names: |
Children's Endocrinology of Rhode Island (trading name, 2005-08-19 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386833127 | 2007-10-17 | 2008-05-19 | 132 OLD RIVER RD, SUITE B-2, LINCOLN, RI, 028651161, US | 132 OLD RIVER RD, SUITE B-2, LINCOLN, RI, 028651161, US | |||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 401-333-2784 |
| Fax | 4013331110 |
Authorized person
| Name | DR. DAVID KADMON |
| Role | PRESIDENT |
| Phone | 4013332784 |
Taxonomy
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| State | RI |
| Is Primary | Yes |
| Taxonomy Code | 2080P0205X - Pediatric Endocrinology Physician |
| State | RI |
| Is Primary | No |
Other Provider Identifiers
| Issuer | TUFTS |
| Number | 605797 |
| State | RI |
| Issuer | NHPRI |
| Number | 2801 |
| State | RI |
| Issuer | HARVARD PILGRIM HEALTCARE |
| Number | 202331 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| STEPHEN D. ZUBIAGO, ESQ. | Agent | NIXON PEABODY LLP ONE CITIZENS PLAZA SUITE 500, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| DAVID KADMON MD | PRESIDENT | 132 OLD RIVER ROAD LINCOLN, RI 02865 USA |
| Number | Name | File Date |
|---|---|---|
| 202199660070 | Revocation Certificate For Failure to File the Annual Report for the Year | 2021-07-29 |
| 202196827610 | Revocation Notice For Failure to File An Annual Report | 2021-05-19 |
| 202074651430 | Annual Report | 2020-11-13 |
| 202055037130 | Revocation Notice For Failure to File An Annual Report | 2020-09-16 |
| 201988838540 | Annual Report | 2019-03-15 |
| 201859820120 | Annual Report | 2018-03-05 |
| 201738284740 | Annual Report | 2017-03-20 |
| 201694097680 | Annual Report | 2016-03-09 |
| 201557787590 | Annual Report | 2015-03-19 |
| 201437718690 | Annual Report | 2014-03-25 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
