IndividualActive
John Gaitanis, MD
NPI 1225065394 · Neurology with Special Qualifications in Child Neurology Physician · Providence, RI
Provider details
- NPI number
- 1225065394
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 213712 (MA)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense MD11298 (RI)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
593 Eddy St
George Building
Providence, RI 02903-4923
Phone: (401) 444-4000
Approximate (ZIP-level) locationGet directions
Mailing address
1 Hoppin St
Providence, RI 02903-4141
Additional practice locations (2)
- 115 Norwood Park SSte 106Norwood, MA 02062-4641Phone: (781) 352-4777Fax: (781) 352-4778
- 2 Dudley StreetSte 2Providence, RI 02905-3236Phone: (781) 352-4777Fax: (781) 352-4778
Registry dates
- Enumerated
- 2006-06-26
- Last updated
- 2025-08-11
- Certified
- 2025-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.