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LANDMARK PHYSICIAN OFFICE SERVICES NPI 1396778593


NPI Information

NPI: 1396778593
Provider Name: LANDMARK PHYSICIAN OFFICE SERVICES
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 41D2234385

Address:
219 CASS AVE
WOONSOCKET, RI
ZIP 02895
Phone: (401) 769-4100
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LANDMARK PHYSICIAN OFFICE SERVICES is an internal medicine in Woonsocket, RI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. LANDMARK PHYSICIAN OFFICE SERVICES NPI is 1396778593. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

219 CASS AVE
WOONSOCKET, RI
ZIP 02895-741
Phone: (401) 769-4100
Fax: (401) 766-9575

The provider's authorized official is Richard R Charest .
The authorized official title is President & Ceo and has the following contact phone number (401) 769-4100.

The CLIA number assigned to this NPI record is 41D2234385 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 5/29/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086X0206XSurgerySurgical OncologyNo
2207V00000XObstetrics & GynecologyNo
3207X00000XOrthopaedic SurgeryNo
4207Q00000XFamily Medicine5623RHODE ISLANDNo
5208600000XSurgeryMD10296RHODE ISLANDNo
6207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1709005058MEDICARE PINRHODE ISLAND
29005058MEDICAIDRHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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