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John McGonigle MD, LLC

Company Details

Name: John McGonigle MD, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 04 Jan 2021 (4 years ago)
Identification Number: 001717126
ZIP code: 02914
County: Providence County
Purpose: PRIMARY CARE DOCTOR'S OFFICE.
Principal Address: Google Maps Logo 201 WATERMAN AVENUE, EAST PROVIDENCE, RI, 02914, USA

Industry & Business Activity

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

Agent

Name Role Address
MEGHAN SCHAFFER Agent 135 SAYLES AVENUE, PAWTUCKET, RI, 02860, USA

National Provider Identifier

NPI Number:
1396320057
Certification Date:
2021-03-15

Authorized Person:

Name:
JOHN MCGONIGLE
Role:
PHYSICIAN/ OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4015723301

Filings

Number Name File Date
202460399650 Statement of Change of Registered/Resident Agent 2024-10-01
202459308340 Agent Resigned 2024-09-11
202343636920 Annual Report 2023-12-29
202343637440 Statement of Change of Registered/Resident Agent 2023-12-29
202343637620 Annual Report 2023-12-29

Date of last update: 14 May 2025

Sources: Rhode Island Department of State