| 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 (21 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 |
| Fictitious names: |
Children's Endocrinology of Rhode Island (trading name, 2005-08-19 - ) |
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 | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | |||||||||||||||||||||||||||||||||||||||||
|
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| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2063477209 | 2020-04-15 | 0165 | PPP | 132 Old River Rd Suite B-2, Lincoln, RI, 02865 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
