| Name: | LINDA J. HANNA-TRAD, M.D., INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 07 Mar 2016 (9 years ago) |
| Identification Number: | 001661077 |
| ZIP code: | 02904 |
| County: | Providence County |
| Principal Address: | 185A HIGH SERVICE AVENUE, NORTH PROVIDENCE, RI, 02904, USA |
| Purpose: | MEDICAL OFFICE |
| Fictitious names: |
LINDA J. HANNA-TRAD, M.D. (trading name, 2016-03-10 - ) |
| Historical names: |
LINDA HANNA-TRAD, M.D., INC. |
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
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316300064 | 2016-03-31 | 2016-03-31 | 185A HIGH SERVICE AVE, NORTH PROVIDENCE, RI, 029045114, US | 185A HIGH SERVICE AVE, NORTH PROVIDENCE, RI, 029045114, US | |||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 401-556-1533 |
Authorized person
| Name | DR. LINDA JANE HANNA-TRAD |
| Role | PRESIDENT |
| Phone | 4015561533 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 09017 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | TUFTS |
| Number | 009017 |
| State | RI |
| Issuer | UNITED HEALTH |
| Number | 0401886 |
| State | RI |
| Issuer | NEIGHBORHOOD HEALTH |
| Number | 4186 |
| State | RI |
| Issuer | MEDICAID |
| Number | 7004900 |
| State | RI |
| Issuer | MEDICARE |
| Number | 007006522 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| JOSEPH A. SCIACCA | Agent | 121 PHENIX AVENUE, CRANSTON, RI, 02920, USA |
| Name | Role | Address |
|---|---|---|
| LINDA J. HANNA-TRAD MD | PRESIDENT | 25 LENNON ROAD LINCOLN, RI 02865 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2016-03-10 | LINDA HANNA-TRAD, M.D., INC. | LINDA J. HANNA-TRAD, M.D., INC. |
| Number | Name | File Date |
|---|---|---|
| 202450263170 | Annual Report | 2024-04-05 |
| 202336368560 | Annual Report | 2023-07-10 |
| 202338152770 | Revocation Notice For Failure to File An Annual Report | 2023-06-19 |
| 202222448440 | Annual Report | 2022-08-25 |
| 202220174350 | Revocation Notice For Failure to File An Annual Report | 2022-06-27 |
| 202195164860 | Annual Report | 2021-03-29 |
| 202036756450 | Annual Report | 2020-03-24 |
| 201988180360 | Annual Report | 2019-03-04 |
| 201860646690 | Annual Report | 2018-03-19 |
| 201733942500 | Annual Report | 2017-02-10 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
