| Name: | OSH-RI Physicians Group, P.C. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 11 Feb 2019 (6 years ago) |
| Identification Number: | 001692776 |
| Principal Address: | 30 WEST MONROE SUITE 1200, CHICAGO, IL, 60603, USA |
| Purpose: | PRACTICE OF MEDICINE |
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 | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063984813 | 2018-12-18 | 2023-06-29 | 30 W MONROE ST STE 1200, CHICAGO, IL, 606032420, US | 300 QUAKER LN # C2-4, WARWICK, RI, 028860159, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 312-733-9730 |
| Fax | 7738668014 |
Authorized person
| Name | DR. GRIFFIN MYERS |
| Role | CMO |
| Phone | 3072642085 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | MD16439 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA |
| Name | Role | Address |
|---|---|---|
| GRIFFIN R. MYERS DR. | PRESIDENT | 30 WEST MONROE, SUITE 1200 CHICAGO, IL 60603 USA |
| Name | Role | Address |
|---|---|---|
| ROBERT GUENTHNER | SECRETARY | 30 WEST MONROE, SUITE 1200 CHICAGO, IL 60603 USA |
| Name | Role | Address |
|---|---|---|
| GRIFFIN R. MYERS DR. | DIRECTOR | 30 WEST MONROE, SUITE 1200 CHICAGO, IL 60603 USA |
| Number | Name | File Date |
|---|---|---|
| 202454761870 | Annual Report | 2024-05-22 |
| 202331659690 | Annual Report | 2023-03-27 |
| 202214937530 | Annual Report | 2022-04-15 |
| 202192565480 | Annual Report | 2021-02-23 |
| 202034189890 | Annual Report | 2020-02-12 |
| 201986348230 | Articles of Incorporation | 2019-02-11 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
