Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902890197 Individual Practitioner Female Practitioner

Dr. Ailis Clyne , MD

Pediatrics • Warwick, RI

Professional Overview & Biography Verified Profile Summary

Dr. Ailis Clyne, MD is a registered healthcare professional specializing in Pediatrics in Warwick, RI. Practice services are available at 300 CENTERVILLE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 Centerville Rd
The Summit East, Suite 110

Warwick, RI 028860200

Telephone 4016152299
Fax 4016157529
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Warwick, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 17.6 Yrs
Regional Practice Density
25 Specialists

Practicing in Warwick, RI (340 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License RI MD09744

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7006725 (RI)
Commercial Insurance / Payer ID Medicare
0070067252

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Claire Creamer , NP

Nurse Practitioner

NPI 1154431534

Nurse Practitioner

Mary Emanuel , PA-C

Physician Assistant

NPI 1235655341

Physician Assistant (Certified)

NPI 1285637678

Doctor of Medicine (M.D.)

NPI 1356321483

Doctor of Medicine (M.D.)

NPI 1386697357

Doctor of Medicine (M.D.)

NPI 1407835614

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2016

Registered at 300 CENTERVILLE RD, THE SUMMIT EAST, SUITE 110, WARWICK, RI 028860200 (Tel: 4016152299)

📍
Updated Business Mailing Address June 10, 2016

Registered at 10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 029034754 (Tel: 4014214000)

👤
Provider Name / Credentials Updated June 10, 2016

Recorded as AILIS CLYNE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2016

Pediatrics (License #MD09744 in RI)

🟢
Initial NPI Registration & Enumeration September 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902890197
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 02, 2005
Last Update: June 10, 2016
Sole Proprietor: No

Mailing Address

10 Davol Sq, Suite 400

Providence, RI 029034754

Phone: 4014214000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.