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AFFINITY PHYSICIANS, LLC

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Company Details

Name: AFFINITY PHYSICIANS, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 12 May 2010 (15 years ago)
Identification Number: 000539865
ZIP code: 02906
City: Providence
County: Providence County
Purpose: PHYSICIAN MEDICAL GROUP
Fictitious names: Care New England Medical Group, LLC (trading name, 2015-11-24 - )
Historical names: Kent Physician Enterprise, LLC
Principal Address: Google Maps Logo 4 RICHMOND SQUARE, PROVIDENCE, RI, 02906, USA
Mailing Address: Google Maps Logo 4 RICHMOND SQUARE 4TH FLOOR, PROVIDENCE, RI, 02906, USA

Industry & Business Activity

NAICS

621999 All Other Miscellaneous Ambulatory Health Care Services

This U.S. industry comprises establishments primarily engaged in providing ambulatory health care services (except offices of physicians, dentists, and other health practitioners; outpatient care centers; medical and diagnostic laboratories; home health care providers; ambulances; and blood and organ banks). Learn more at the U.S. Census Bureau

Manager

Name Role Address
ROBERT SHALVOY Manager 19 GOLD STAR DRIVE CUMBERLAND, RI 02864 USA
JINEN THAKKAR MD Manager 455 TOLL GATE ROAD WARWICK, RI 02886 USA
JAMES SULLIVAN MD Manager 345 BLACKSTONE BLVD PROVIDENCE, RI 02906 USA
LAURA FORMAN Manager 332 NORTH QUIDNESSETT ROAD NORTH KINGSTOWN, RI 02852 USA
RODOLFO GALINATTI Manager 16 RAYMOND DRIVE ATTLEBORO, MA 02703 USA
METHODIUS TUULI Manager 190 LYNN CIRCLE EAST GREENWICH, RI 02818 USA
RONALD CRANDALL Manager 300 RICHMOND STREET PROVIDENCE, RI 02903 USA
LISA UEBELACKER Manager 17 DEBORAH SAMPSON STREET SHARON, MA 02067 USA
LINDA NANNI Manager 247 CORNELL ROAD WESTPORT, MA 02790 USA
KEVIN BAILL Manager 24 ELTON STREET PROVIDENCE, RI 02906 USA

Agent

Name Role Address
KATHERINE WILLS Agent 171 SERVICE AVE., WARWICK, RI, 02886, USA

National Provider Identifier

NPI Number:
1053038471
Certification Date:
2024-03-26

Authorized Person:

Name:
DAWN LYNN RODGERS
Role:
CREDENTIALING SUPERVISOR
Phone:

Taxonomy:

Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
No
Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Fax:
4012732919

Events

Type Date Old Value New Value
Name Change 2010-09-07 Kent Physician Enterprise, LLC AFFINITY PHYSICIANS, LLC

Filings

Number Name File Date
202451879000 Annual Report 2024-04-22
202334797650 Annual Report 2023-05-01
202221735190 Statement of Change of Registered/Resident Agent Office 2022-07-28
202215937520 Annual Report 2022-04-27
202104484830 Annual Report - Amended 2021-11-02

Expenditures

Agency Date Program Subprogram Amount
Department of Corrections 2025-05-13 Healthcare Svcs Physician Services 510.0
Department of Corrections 2025-04-22 Healthcare Svcs Physician Services 880.0
Department of Corrections 2025-03-14 Healthcare Svcs Physician Services 1200.0
Department of Corrections 2025-02-11 Healthcare Svcs Physician Services 640.0
Department of Corrections 2025-01-10 Healthcare Svcs Physician Services 1080.0

Court Cases

Court Case Summary

Filing Date:
2021-10-15
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Both plaintiff and defendant demand jury
Nature Of Suit:
Civil Rights Employment

Parties

Party Name:
KORNWITZ, M.D.
Party Role:
Plaintiff
Party Name:
AFFINITY PHYSICIANS, LLC
Party Role:
Defendant

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Date of last update: 13 Jul 2025

Sources: Rhode Island Department of State