| Name: | Joseph W. Spinale, DO, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 16 Jul 2009 (16 years ago) |
| Date of Dissolution: | 01 Dec 2015 (9 years ago) |
| Date of Status Change: | 01 Dec 2015 (9 years ago) |
| Identification Number: | 000508413 |
| ZIP code: | 02886 |
| County: | Kent County |
| Principal Address: | 390 TOLL GATE ROAD SUITE 205, WARWICK, RI, 02886, USA |
| Purpose: | CARDIOLOGY |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376773606 | 2009-07-21 | 2009-07-21 | 390 TOLL GATE RD, SUITE 205, WARWICK, RI, 028864326, US | 390 TOLL GATE RD, SUITE 205, WARWICK, RI, 028864326, US | |||||||||||||||||||||||||
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| Phone | +1 401-921-6263 |
| Fax | 4019216569 |
Authorized person
| Name | DR. JOSEPH W SPINALE |
| Role | OWNER |
| Phone | 4019216263 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| License Number | DO403 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 7003837 |
| State | RI |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOSEPH SPINALE 401(K) RETIREMENT PLAN | 2012 | 270558259 | 2013-06-24 | JOSEPH W. SPINALE, DO, INC. | 8 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 270558259 |
| Plan administrator’s name | JOSEPH W. SPINALE, DO, INC. |
| Plan administrator’s address | 390 TOLL GATE ROAD, STE 205, WARWICK, RI, 02886 |
| Administrator’s telephone number | 4019216263 |
Signature of
| Role | Plan administrator |
| Date | 2013-06-24 |
| Name of individual signing | SHIRLENE SPINALE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4019216263 |
| Plan sponsor’s address | 390 TOLL GATE ROAD, STE 205, WARWICK, RI, 02886 |
Plan administrator’s name and address
| Administrator’s EIN | 270558259 |
| Plan administrator’s name | JOSEPH W. SPINALE, DO, INC. |
| Plan administrator’s address | 390 TOLL GATE ROAD, STE 205, WARWICK, RI, 02886 |
| Administrator’s telephone number | 4019216263 |
Signature of
| Role | Plan administrator |
| Date | 2012-02-24 |
| Name of individual signing | SHIRLENE SPINALE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4019216263 |
| Plan sponsor’s address | 390 TOLL GATE ROAD, STE 205, WARWICK, RI, 02886 |
Plan administrator’s name and address
| Administrator’s EIN | 270558259 |
| Plan administrator’s name | JOSEPH W. SPINALE, DO, INC. |
| Plan administrator’s address | 390 TOLL GATE ROAD, STE 205, WARWICK, RI, 02886 |
| Administrator’s telephone number | 4019216263 |
Signature of
| Role | Plan administrator |
| Date | 2011-03-15 |
| Name of individual signing | SHIRLENE SPINALE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| JOSEPH J. MCGAIR | Agent | 797 BALD HILL ROAD, WARWICK, RI, 02886, USA |
| Name | Role | Address |
|---|---|---|
| JOSEPH W. SPINALE DO | PRESIDENT | 390 TOLL GATE ROAD, SUITE 205 WARWICK, RI 02886 USA |
| Number | Name | File Date |
|---|---|---|
| 201588672210 | Revocation Certificate For Failure to File the Annual Report for the Year | 2015-12-01 |
| 201564633680 | Revocation Notice For Failure to File An Annual Report | 2015-07-09 |
| 201435455010 | Annual Report | 2014-02-11 |
| 201326194390 | Annual Report | 2013-07-23 |
| 201321993600 | Revocation Notice For Failure to File An Annual Report | 2013-06-03 |
| 201289391230 | Annual Report | 2012-02-10 |
| 201174691960 | Annual Report | 2011-02-09 |
| 201058035460 | Annual Report | 2010-02-04 |
| 200948096990 | Articles of Incorporation | 2009-07-16 |
Date of last update: 14 Oct 2024
Sources: Rhode Island Department of State
