Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Taresa Kulik, PA-C

Individual provider Surgical Physician Assistant · NPI 1942282942

Taresa Kulik, PA-C is a Physician Assistant in Providence, Rhode Island. Qualified in 1979, 47 years ago. Practices with University Surgical Associates, Inc, a 107-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
47
Licensed in
RI
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

593 Eddy St Ste 443
Providence, RI 02903-4923
Phone: (401) 453-9625
Fax: (401) 435-7069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA00012 (RI)

Record details

NPI number1942282942
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 16, 2005
Last updated in NPPESJanuary 29, 2020
Certification dateJanuary 29, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice University Surgical Associates, Inc. — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Providence