| Name: | Beth Israel Deaconess Physician Organization, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 30 Jan 2008 (17 years ago) |
| Date of Dissolution: | 03 Jun 2021 (4 years ago) |
| Date of Status Change: | 03 Jun 2021 (4 years ago) |
| Identification Number: | 000305808 |
| Place of Formation: | MASSACHUSETTS |
| Purpose: | HEALTHCARE SERVICES |
| Principal Address: |
247 STATION AVENUE NORTHWEST 1, WESTWOOD, MA, 02090, USA
|
| Name | Role | Address |
|---|---|---|
| NATIONAL REGISTERED AGENTS, INC. | Agent | 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA |
| Name | Role | Address |
|---|---|---|
| STANLEY M LEWIS MD | MANAGER | 330 BROOKLINE AVE, STONEMAN BLDG, SUITE 215 BOSTON, MA 02215 USA |
| STEVEN FISCHER | MANAGER | 330 BROOKLINE AVE, STONEMAN BLDG, SUITE 207 BOSTON, MA 02215 USA |
| FOSTER ABORN | MANAGER | C/O JOHN HANCOCK, 200 BERKELEY ST B-01-10 BOSTON, MA 02116 USA |
| PETER MOWSCHENSON MD | MANAGER | 1180 BEACON ST, SUITE 6B BROOKLINE, MA 02446 USA |
| JOHN M FOGARTY | MANAGER | 330 BROOKLINE AVE BOSTON, MA 02215 USA |
| ROBERT GABBAY, MD | MANAGER | ONE JOSLIN PLACE BOSTON, MA 02215 USA |
| MARY ANN STEVENSON MD, MPH | MANAGER | 330 BROOKLINE AVE, FINARD BASEMENT BOSTON, MA 02215 USA |
| ALEXA B. KIMBALL MD, MPH | MANAGER | 375 LONGWOOD AVENUE BOSTON, MA 02215 USA |
| ELIZABETH KASS MD | MANAGER | 1340 BOYLSTON ST BOSTON, MA 02215 USA |
| DAVID V IVES MD | MANAGER | 482 BEDFORD ST LEXINGTON, MA 02420 USA |
| Number | Name | File Date |
|---|---|---|
| 202197408700 | Revocation Certificate For Failure to File the Annual Report for the Year | 2021-06-03 |
| 202194211880 | Revocation Notice For Failure to File An Annual Report | 2021-03-16 |
| 201914130450 | Annual Report | 2019-08-20 |
| 201859504930 | Annual Report | 2018-03-01 |
| 201750694190 | Annual Report | 2017-09-29 |
Date of last update: 28 May 2025
Sources: Rhode Island Department of State
