| Name: | Crossings Surgery Center, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 21 Mar 2022 (3 years ago) |
| Identification Number: | 001737777 |
| ZIP code: | 02886 |
| County: | Kent County |
| Principal Address: | 200 CROSSINGS BLVD. STE. 310, WARWICK, RI, 02886, USA |
| Mailing Address: | 200 CROSSINGS BLVD. SUITE 310, WARWICK, RI, 02886, USA |
| Purpose: | TO OWN AND OPERATE A FREESTANDING AMBULATORY SURGERY CENTER. |
| Fictitious names: |
Ortho RI Surgery Center (trading name, 2023-06-30 - ) |
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 | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154034429 | 2023-01-03 | 2023-01-03 | 200 CROSSINGS BLVD, WARWICK, RI, 028862873, US | 300 CROSSINGS BLVD, WARWICK, RI, 028862878, US | |||||||||||||
|
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| Phone | +1 716-208-1708 |
Authorized person
| Name | PAUL CAVARETTA |
| Role | REVENUE CYCLEY MANAGER |
| Phone | 7162081708 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STEPHEN D. ZUBIAGO, ESQ. | Agent | NIXON PEABODY LLP ONE CITIZENS PLAZA STE. 500, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| J. WINSLOW ALFORD M.D. | MANAGER | 300 CROSSINGS BLVD. WARWICK, RI 02886 USA |
| SCOTT D. ALLEN M.D. | MANAGER | 300 CROSSINGS BLVD. WARWICK, RI 02886 USA |
| DAVID B. BURNS D.O. | MANAGER | ONE HIGH STREET WAKEFIELD, RI 02879 USA |
| ANTHONY DELUISE M.D. | MANAGER | 300 CROSSINGS BLVD. WARWICK, RI 02886 USA |
| NATHAN HOWLETT D.O. | MANAGER | ONE HIGH STREET WAKEFIELD, RI 02879 USA |
| ROALD J. LLADO M.D. | MANAGER | 285 PROMENADE STREET PROVIDENCE, RI 02908 USA |
| IAN A. MADOM M.D. | MANAGER | ONE HIGH STREET WAKEFIELD, RI 02879 USA |
| ROBERT C. MARCHAND M.D. | MANAGER | ONE HIGH STREET WAKEFIELD, RI 02879 USA |
| ANTHONY MECHREFE M.D. | MANAGER | 300 CROSSINGS BLVD. WARWICK, RI 02886 USA |
| SIDNEY P. MIGLIORI M.D. | MANAGER | ONE HIGH STREET WAKEFIELD, RI 02879 USA |
| Number | Name | File Date |
|---|---|---|
| 202454183230 | Annual Report | 2024-05-10 |
| 202338940340 | Fictitious Business Name Statement | 2023-06-30 |
| 202331928390 | Annual Report | 2023-03-29 |
| 202213131650 | Articles of Organization | 2022-03-21 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
