Provider Type Icon

ANDREW NATHANSON MD NPI 1134133804


NPI Information

NPI: 1134133804
Provider Name: ANDREW NATHANSON, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Organization: BROWN EMERGENCY MEDICINE

PECOS Registration: Yes

Address:
593 EDDY ST
CLAVERICK 2
PROVIDENCE, RI
ZIP 02903
Phone: (401) 519-1604
Get Directions

Andrew Nathanson, MD is an emergency medicine in Providence, RI with 34 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Andrew Nathanson, MD NPI is 1134133804. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

593 EDDY ST
CLAVERICK 2
PROVIDENCE, RI
ZIP 02903-923
Phone: (401) 519-1604
Fax: (401) 272-0538

The NPI 1134133804 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 2/4/2010.


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
1207P00000XEmergency MedicineMD08737RHODE 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
11134133804OTHERRHODE ISLANDNPI
2F86227MEDICARE UPINRHODE ISLAND
3007004939MEDICARE ID-TYPE UNSPECIFIEDRHODE ISLAND
404/15/2009OTHERRHODE ISLANDUNITED HEALTHCARE
5939025129OTHERRHODE ISLANDRI MEDICARE GROUP NUMBER
611/12/2009OTHERRHODE ISLANDNHPRI
73186393MEDICAIDMASSACHUSETTS
87004160MEDICAIDRHODE ISLAND
912/29/2008OTHERMASSACHUSETTSTUFTS HEALTH PLAN
1007/01/2007OTHERRHODE ISLANDBCBS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.