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PEDIATRIC ENDOCRINOLOGY OF RHODE ISLAND NPI 1073864591


NPI Information

NPI: 1073864591
Provider Name: PEDIATRIC ENDOCRINOLOGY OF RHODE ISLAND
Classification: Pediatrics - 2080P0205X
Entity Type: Organization

Specialization: Pediatric Endocrinology

Address:
105 SOCKANOSSET CROSS ROAD
SUITE 318
CRANSTON, RI
ZIP 02920
Phone: (401) 434-2058
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PEDIATRIC ENDOCRINOLOGY OF RHODE ISLAND is a pediatric endocrinology pediatrics in Cranston, RI. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. PEDIATRIC ENDOCRINOLOGY OF RHODE ISLAND NPI is 1073864591. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

105 SOCKANOSSET CROSS ROAD
SUITE 318
CRANSTON, RI
ZIP 02920
Phone: (401) 434-2058
Fax: (401) 633-6854

The provider's authorized official is Rebecca Mceachern .
The authorized official title is Sole Owner/ Medical Director and has the following contact phone number (401) 419-8091.

The enumeration date for this NPI number is 9/24/2012 and was last updated on 4/1/2014.


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
12080P0205XPediatricsPediatric Endocrinology11312RHODE ISLANDYes

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
1H98167MEDICARE UPIN
2PE91323MEDICAIDRHODE ISLAND
33300486OTHERUNITED HEALTHCARE
4007050156MEDICARE UPIN

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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