PROVIDENCE SURGICAL CARE GROUP INCORPORATED NPI 1437232543

NPI Information

NPI: 1437232543
Provider Name: PROVIDENCE SURGICAL CARE GROUP, INCORPORATED
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
486 SILVER SPRING ST
PROVIDENCE, RI
ZIP 02904
Phone: (401) 454-0690
Get Directions

PROVIDENCE SURGICAL CARE GROUP, INCORPORATED is a vascular surgery surgery in Providence, RI. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. PROVIDENCE SURGICAL CARE GROUP, INCORPORATED NPI is 1437232543. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

486 SILVER SPRING ST
PROVIDENCE, RI
ZIP 02904-556
Phone: (401) 454-0690
Fax: (401) 454-4281

The provider's authorized official is Robert B Patterson .
The authorized official title is President and has the following contact phone number (401) 454-0690.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 12/23/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)				No
2	2086S0129X	Surgery	Vascular Surgery			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PS32025	MEDICAID	RHODE ISLAND
2	339095979	MEDICARE ID-TYPE UNSPECIFIED	RHODE 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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