| 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) |
| 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
