| 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 |
| Principal Address: | 201 WATERMAN AVENUE, EAST PROVIDENCE, RI, 02914, USA |
| Purpose: | PRIMARY CARE DOCTOR'S OFFICE. |
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 | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396320057 | 2021-03-15 | 2021-03-15 | 201 WATERMAN AVE, EAST PROVIDENCE, RI, 029143522, US | 201 WATERMAN AVE, EAST PROVIDENCE, RI, 029143522, US | |||||||||||||||
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| Phone | +1 401-572-3300 |
| Fax | 4015723301 |
Authorized person
| Name | JOHN MCGONIGLE |
| Role | PHYSICIAN/ OWNER |
| Phone | 4015723300 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MEGHAN SCHAFFER | Agent | 135 SAYLES AVENUE, PAWTUCKET, RI, 02860, USA |
| 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 |
| 202343636380 | Reinstatement | 2023-12-29 |
| 202218501340 | Revocation Certificate For Failure to Maintain a Registered Office | 2022-06-14 |
| 202217278900 | Miscellaneous Filing (No Fee) | 2022-05-12 |
| 202213641230 | Annual Report | 2022-05-09 |
| 202212891960 | Revocation Notice For Failure to Maintain a Registered Office | 2022-03-15 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
