Provider Demographics
NPI:1144297698
Name:SCLAMA, KAREN ANN (PA-C)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:SCLAMA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:ANN
Other - Last Name:FARRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:455 TOLL GATE RD
Mailing Address - Street 2:PRC AND CREDENTIALING
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2759
Mailing Address - Country:US
Mailing Address - Phone:401-273-0641
Mailing Address - Fax:401-273-2919
Practice Address - Street 1:640 GEORGE WASHINGTON HWY
Practice Address - Street 2:BLDG A, SUITE 102
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865
Practice Address - Country:US
Practice Address - Phone:401-921-7900
Practice Address - Fax:401-921-6959
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPA00220363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI24008-4OtherBCBSRI
RI409039OtherBLUECHIP
RIU400242498Medicare PIN
RI979003955Medicare ID - Type UnspecifiedMEDICARE