| Name: | SOUTH COUNTY ANESTHESIA ASSOCIATES, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 24 Jun 2014 (11 years ago) |
| Identification Number: | 000950845 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | P.O. BOX 230, WAKEFIELD, RI, 02880, USA |
| Mailing Address: | ONE RICHMOND SQUARE SUITE 165W, PROVIDENCE, RI, 02906, USA |
| Purpose: | ANESTHESIOLOGY |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790193522 | 2014-07-24 | 2016-05-13 | 1342 BELMONT ST, SUITE 205, BROCKTON, MA, 023014436, US | 100 KENYON AVE, WAKEFIELD, RI, 028794216, US | |||||||||||||||||||||
|
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| Phone | +1 508-580-1670 |
| Phone | +1 401-782-8000 |
| Fax | 4017893450 |
Authorized person
| Name | DR. JAMES FRANCIS GRIFFIN |
| Role | PRESIDENT |
| Phone | 4017880196 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| JEFFREY F. CHASE-LUBITZ, ESQ. | Agent | ONE RICHMOND SQUARE SUITE 165W HUSCH BLACKWELL LLP, PROVIDENCE, RI, 02906, USA |
| Name | Role | Address |
|---|---|---|
| HENRY CABRERA M.D. | Manager | 3812 COMMODORE PERRY HIGHWAY WAKEFIELD, RI 02879 USA |
| ROBERT CHINN M.D. | Manager | 23 EGRET LANE WAKEFIELD, RI 02879 USA |
| NINA JI, M.D. | Manager | 87 BRAMBLE BUSH ROAD COVENTRY, RI 02816 USA |
| JOHN GRAHAM M.D. | Manager | 137 DOCKRAY STREET WAKEFIELD, RI 02879 USA |
| JAMES GRIFFIN DO | Manager | 169 POST ROAD WAKEFIELD, RI 02879 USA |
| ADAM A WRIGHT M.D. | Manager | 1 W. EXCHANGE STREET UNIT 2203 PROVIDENCE, RI 02903 USA |
| JARED BARLOW M.D. | Manager | 42 SUGARBUSH TRAIL SAUNDERSTOWN, RI 02874 USA |
| Number | Name | File Date |
|---|---|---|
| 202447153350 | Annual Report | 2024-02-23 |
| 202340024810 | Annual Report | 2023-07-31 |
| 202336893620 | Revocation Notice For Failure to File An Annual Report | 2023-06-16 |
| 202216747100 | Annual Report | 2022-05-03 |
| 202207880160 | Annual Report | 2022-01-12 |
| 202105830780 | Revocation Notice For Failure to File An Annual Report | 2021-12-03 |
| 202102679210 | Statement of Change of Registered/Resident Agent Office | 2021-10-05 |
| 202067921560 | Annual Report | 2020-10-23 |
| 201925236220 | Annual Report | 2019-10-25 |
| 201881539580 | Annual Report | 2018-11-20 |
Date of last update: 19 Oct 2024
Sources: Rhode Island Department of State
