DR. PAMELA JO SAN ANTONIO MD NPI 1215913215

NPI Information

NPI: 1215913215
Provider Name: DR. PAMELA JO SAN ANTONIO, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
161 AIRPORT ROAD
WARWICK, RI
ZIP 02889
Phone: (401) 737-4282
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DR. Pamela Jo San Antonio, MD is a pediatrics in Warwick, RI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Pamela Jo San Antonio, MD NPI is 1215913215. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

161 AIRPORT ROAD
WARWICK, RI
ZIP 02889
Phone: (401) 737-4282
Fax: (401) 738-6896

The enumeration date for this NPI number is 12/21/2005 and was last updated on 4/16/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		6409	RHODE ISLAND	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	1200217	OTHER		UNITED HEALTH PLAN
2	6591	OTHER	RHODE ISLAND	NEIGHBORHOOD HEALTH PLAN
3	A3417A	OTHER		HARVARD PILGRIM INS
4	DB7252	MEDICARE UPIN
5	9920040	MEDICAID	RHODE ISLAND
6	4720780	OTHER		CIGNA INSURANCE
7	406495	OTHER		TUFTS HEALTH PLAN
8	6409	OTHER	RHODE ISLAND	STATE LICENSE
9	201242	OTHER	RHODE ISLAND	CHCP BLUE CHIP
10	200408	OTHER	RHODE ISLAND	BCBS

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

NPI Synchronization or Removal

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