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PROVIDENT PAIN AND WELLNESS CLINIC NPI 1639404635


NPI Information

NPI: 1639404635
Provider Name: PROVIDENT PAIN AND WELLNESS CLINIC
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
19 FRIENDSHIP ST
SUITE 160
NEWPORT, RI
ZIP 02840
Phone: (401) 499-7771
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PROVIDENT PAIN AND WELLNESS CLINIC is a pain medicine physical medicine rehabilitation in Newport, RI. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. PROVIDENT PAIN AND WELLNESS CLINIC NPI is 1639404635. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

19 FRIENDSHIP ST
SUITE 160
NEWPORT, RI
ZIP 02840-200
Phone: (401) 499-7771

The provider's authorized official is Raul A Masing .
The authorized official title is Owner and has the following contact phone number (401) 499-7771.

The enumeration date for this NPI number is 10/8/2009 and was last updated on 3/28/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiology10503RHODE ISLANDNo
2225100000XPhysical TherapistPT01902RHODE ISLANDNo
32081P2900XPhysical Medicine & RehabilitationPain Medicine10503RHODE ISLANDYes

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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