Jack Anavian, MD
Jack Anavian, MD is an Orthopedic Surgery in Providence, Rhode Island. Graduated from New York University School of Medicine in 2007, 19 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in Rhode Island.
- Years since qualifying
- 19
- Trained at
- New York University School of Medicine
- Licensed in
- RI
- In the registry since
- 2009
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2 Dudley St Ste 200Providence, RI 02905-3236
Phone: (401) 444-3581
Fax: (401) 444-3609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopaedic Surgery Physician (primary) | Taxonomy 207X00000X · Licence 14549 (RI) |
|---|
Record details
| NPI number | 1427286608 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | June 26, 2009 |
| Last updated in NPPES | October 28, 2021 |
| Certification date | October 28, 2021 |
| Mailing address | 2943 Highway 77, Panama City, FL 32405-4411 |
Medicare enrollment
| Medicare specialty | ORTHOPEDIC SURGERY |
|---|---|
| Medical school | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2007 (19 years in practice) |
| Group practice | Southern California Permanente Medical Group — 11242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Providence
-
2 Dudley Street Operatory LLC
2 Dudley St Ste 465, Providence, RI 02905-3236 · (401) 831-0646
-
Daniel Alsoof, MBBS
593 Eddy St, Providence, RI 02903-4923 · (401) 444-4030
-
Steven Bokshan, MD
2 Dudley St Ste 200, Providence, RI 02905-3248 · (401) 443-4205
-
Todd Borenstein, MD
2 Dudley St Ste 200, Providence, RI 02905-3236 · (401) 444-3581
-
Dr. Eleanor Sydney Burstein, MD
2 Dudley St Ste 200, Providence, RI 02905-3248 · (401) 443-4205
-
Dr. Tucker Callanan, MD
2 Dudley St Ste 200, Providence, RI 02905-3252 · (401) 443-4205