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University Cardiovascular Surgical Associates, Inc.

Company Details

Name: University Cardiovascular Surgical Associates, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 20 Nov 2008 (16 years ago)
Identification Number: 000487435
ZIP code: 02916
County: Providence County
Principal Address: 75 NEWMAN AVENUE P.O. BOX 16149, RUMFORD, RI, 02916, USA
Purpose: BENEFIT AND SUPPORT OF THE TEACHING, RESEARCH AND PATIENT CARE MISSIONS OF THE DEPARTMENT OF SURGERY AND THE DIVISION OF CARDIVASCULAR SURGERY AT BROWN UNIVERSITY SCHOOL OF MEDICINE AND RHODE ISLAND HOSPITAL AND OTHER LIFESPAN CORPORATION HOSPITALS
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1770728024 2008-12-15 2020-01-23 PO BOX 9132, BROOKLINE, MA, 024469132, US 2 DUDLEY ST, SUITE 470, PROVIDENCE, RI, 029053236, US

Contacts

Phone +1 800-927-0002
Phone +1 401-274-7546

Authorized person

Name DR. FRANK W SELLKE
Role PRESIDENT
Phone 4012747546

Taxonomy

Taxonomy Code 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIVERSITY CARDIOVASCULAR SURGICAL ASSOCIATES, INC. RETIREMENT PLAN 2022 263750378 2024-01-29 UNIVERSITY CARDIOVASCULAR SURGICAL ASSOCIATES, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-12-01
Business code 621111
Sponsor’s telephone number 4014446290
Plan sponsor’s address 2 DUDLEY STREET, SUITE 470, PROVIDENCE, RI, 02905
UNIVERSITY CARDIOVASCULAR SURGICAL ASSOCIATES, INC. RETIREMENT PLAN 2021 263750378 2023-01-09 UNIVERSITY CARDIOVASCULAR SURGICAL ASSOCIATES, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-12-01
Business code 621111
Sponsor’s telephone number 4014446290
Plan sponsor’s address 2 DUDLEY STREET, SUITE 470, PROVIDENCE, RI, 02905
UNIVERSITY CARDIOVASCULAR SURGICAL ASSOCIATES, INC. RETIREMENT PLAN 2020 263750378 2021-12-27 UNIVERSITY CARDIOVASCULAR SURGICAL ASSOCIATES, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-12-01
Business code 621111
Sponsor’s telephone number 4014446290
Plan sponsor’s address 2 DUDLEY STREET, SUITE 470, PROVIDENCE, RI, 02905
UNIVERSITY CARDIOVASCULAR SURGICAL ASSOCIATES, INC. RETIREMENT PLAN 2019 263750378 2021-01-07 UNIVERSITY CARDIOVASCULAR SURGICAL ASSOCIATES, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-12-01
Business code 621111
Sponsor’s telephone number 4014446290
Plan sponsor’s address 2 DUDLEY STREET, SUITE 470, PROVIDENCE, RI, 02905
UNIVERSITY CARDIOVASCULAR SURGICAL ASSOCIATES, INC. RETIREMENT PLAN 2018 263750378 2020-02-11 UNIVERSITY CARDIOVASCULAR SURGICAL ASSOCIATES, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-12-01
Business code 621111
Sponsor’s telephone number 4014446290
Plan sponsor’s address 2 DUDLEY STREET, SUITE 470, PROVIDENCE, RI, 02905
UNIVERSITY CARDIOVASCULAR SURGICAL ASSOCIATES, INC. RETIREMENT PLAN 2017 263750378 2018-12-19 UNIVERSITY CARDIOVASCULAR SURGICAL ASSOCIATES, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-12-01
Business code 621111
Sponsor’s telephone number 4014446290
Plan sponsor’s address 2 DUDLEY STREET, SUITE 470, PROVIDENCE, RI, 02905
UNIVERSITY CARDIOVASCULAR SURGICAL ASSOCIATES, INC. RETIREMENT PLAN 2016 263750378 2017-11-09 UNIVERSITY CARDIOVASCULAR SURGICAL ASSOCIATES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-12-01
Business code 621111
Sponsor’s telephone number 4014446290
Plan sponsor’s address 2 DUDLEY STREET, SUITE 470, PROVIDENCE, RI, 02905
UNIVERSITY CARDIOVASCULAR SURGICAL ASSOCIATES, INC. RETIREMENT PLAN 2015 263750378 2017-01-05 UNIVERSITY CARDIOVASCULAR SURGICAL ASSOCIATES, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-12-01
Business code 621111
Sponsor’s telephone number 4014446290
Plan sponsor’s address 2 DUDLEY STREET, SUITE 470, PROVIDENCE, RI, 02905
UNIVERSITY CARDIOVASCULAR SURGICAL ASSOCIATES, INC. RETIREMENT PLAN 2014 263750378 2015-11-19 UNIVERSITY CARDIOVASCULAR SURGICAL ASSOCIATES, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-12-01
Business code 621111
Sponsor’s telephone number 4014446290
Plan sponsor’s address 2 DUDLEY STREET, SUITE 470, PROVIDENCE, RI, 02905

Signature of

Role Plan administrator
Date 2015-11-19
Name of individual signing KATHERINE LOTZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
WILLIAM CIOFFI, M.D. Agent 2 DUDLEY STREET SUITE 470, PROVIDENCE, RI, 02905, USA

PRESIDENT

Name Role Address
FRANK SELKE MD PRESIDENT 2 DUDLEY ST., STE 470 PROVVIDENCE, RI 02905 USA

SECRETARY

Name Role Address
NEEL R SODHA MD SECRETARY 2 DUDLEY ST., STE 470 PROVIDENCE, RI 02905 USA

VICE PRESIDENT

Name Role Address
AFSHIN EHSAN MD VICE PRESIDENT 2 DUDLEY ST,, STE 470 PROVIDENCE, RI 02905 USA

DIRECTOR

Name Role Address
FRANK SELKE MD DIRECTOR 2 DUDLEY ST., STE 470 PROVIDENCE, RI 02905 USA
DEAN ROYE MD DIRECTOR 593 EDDY STREET PROVIDENCE, RI 02903 USA
WILLIAM CIOFFI MD DIRECTOR 2 DUDLEY STREET, SUITE 470 PROVIDENCE, RI 02905 USA

Filings

Number Name File Date
202449230310 Annual Report 2024-03-25
202327583280 Annual Report 2023-02-06
202208999960 Annual Report 2022-02-01
202198472520 Annual Report 2021-06-21
202041774320 Annual Report 2020-06-10
201994137220 Annual Report 2019-05-24
201866115730 Annual Report 2018-05-18
201744862390 Annual Report 2017-06-06
201600414640 Annual Report 2016-06-09
201566835730 Annual Report 2015-07-31

Date of last update: 13 Oct 2024

Sources: Rhode Island Department of State