| Name: | ASPIRE DERMATOLOGY, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 24 Mar 2011 (14 years ago) |
| Identification Number: | 000615179 |
| ZIP code: | 02842 |
| County: | Newport County |
| Principal Address: | 102 VALLEY ROAD, MIDDLETOWN, RI, 02842, USA |
| Mailing Address: | 102 VALLEY RD, MIDDLETOWN, RI, 02842, USA |
| Purpose: | MEDICAL DERMATOLOGY PRACTICE |
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
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | ASPIRE DERMATOLOGY, LLC, ALABAMA | 001-128-119 | ALABAMA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700176849 | 2011-04-11 | 2021-11-04 | 102 VALLEY RD, MIDDLETOWN, RI, 028425237, US | 102 VALLEY RD, MIDDLETOWN, RI, 028425237, US | |||||||||||||||||||
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| Phone | +1 401-239-1800 |
| Fax | 4012391801 |
Authorized person
| Name | JASON R. MICHAELS |
| Role | MANAGER |
| Phone | 4012391800 |
Taxonomy
| Taxonomy Code | 207ND0101X - MOHS-Micrographic Surgery Physician |
| License Number | MD13562 |
| State | RI |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ASPIRE DERMATOLOGY, LLC 401(K) PLAN | 2023 | 451186586 | 2024-06-28 | ASPIRE DERMATOLOGY, LLC | 0 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| ANKA DAVIS | Agent | 102 VALLEY ROAD, MIDDLETOWN, RI, 02842, USA |
| Name | Role | Address |
|---|---|---|
| JASON MICHAELS | Manager | 102 VALLEY RD MIDDLETOWN, RI 02842 USA |
| Number | Name | File Date |
|---|---|---|
| 202448258360 | Annual Report | 2024-03-11 |
| 202332801430 | Annual Report | 2023-04-12 |
| 202217974820 | Annual Report | 2022-05-31 |
| 202207603480 | Annual Report | 2022-01-03 |
| 202106216150 | Revocation Notice For Failure to File An Annual Report | 2021-12-03 |
| 202079361820 | Statement of Change of Registered/Resident Agent | 2020-12-10 |
| 202078615230 | Annual Report | 2020-12-05 |
| 201927646720 | Annual Report | 2019-11-18 |
| 201879603790 | Annual Report | 2018-10-17 |
| 201856105950 | Annual Report | 2018-01-13 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 344610696 | 0112300 | 2020-02-06 | 67 WILLIAM S. CANNING BLVD., TIVERTON, RI, 02878 | |||||||||||||||||||||||||||||||||||||||||||||||
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| Type | Complaint |
| Activity Nr | 1539895 |
| Health | Yes |
Violation Items
| Citation ID | 01001 |
| Citaton Type | Other |
| Standard Cited | 19101030 F03 |
| Issuance Date | 2020-05-20 |
| Abatement Due Date | 2020-06-08 |
| Current Penalty | 3373.5 |
| Initial Penalty | 6747.0 |
| Final Order | 2020-06-10 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.1030(f)(3): Following a report of an exposure incident, the employer did not make immediately available to the exposed employee a confidential medical evaluation and follow-up: (a) Facility: When a Medical Assistant incurred an exposure incident during an excision with a patient, the employer did not ensure that the post-exposure evaluation and follow-up was performed as soon as feasible to determine HBV and HIV infectivity. |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8031287105 | 2020-04-15 | 0165 | PPP | 102 Valley Rd, Middletown, RI, 02842 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 15 Oct 2024
Sources: Rhode Island Department of State
