OrganizationActive
Ri Departmenf of Corrections
NPI 1629168901 · Medical Physician Assistant · Cranston, RI
Provider details
- NPI number
- 1629168901
- Entity type
- Organization
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Michael Poshkus, Medical Program Director(401) 462-1115
- License
- PA00221 (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
39 Howard Ave
Cranston, RI 02920-3001
Phone: (401) 462-2268
Fax: (401) 462-2625
Approximate (ZIP-level) locationGet directions
Mailing address
147 Seascape Ave
Middletown, RI 02842-5852
Registry dates
- Enumerated
- 2006-10-15
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.