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BLACKSTONE MEDICAL CENTER INC. NPI 1396090536


NPI Information

NPI: 1396090536
Provider Name: BLACKSTONE MEDICAL CENTER, INC.

Other Name: BLACKSTONE MEDICAL CENTER SPINE CENTER

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
219 CASS AVENUE
WOONSOCKET, RI
ZIP 02895
Phone: (401) 769-4100
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BLACKSTONE MEDICAL CENTER, INC. is an orthopaedic surgery in Woonsocket, RI. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. BLACKSTONE MEDICAL CENTER, INC. NPI is 1396090536. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Blackstone Medical Center Spine Center.

The provider's business location address is:

219 CASS AVENUE
WOONSOCKET, RI
ZIP 02895-741
Phone: (401) 769-4100
Fax: (401) 766-9575

The provider's authorized official is James Renna .
The authorized official title is Cfo and has the following contact phone number (617) 419-4772.

The enumeration date for this NPI number is 7/13/2012 and was last updated on 8/1/2012.


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
1207R00000XInternal Medicine00117RHODE ISLANDNo
2208600000XSurgery00117RHODE ISLANDNo
32086X0206XSurgerySurgical Oncology00117RHODE ISLANDNo
4207X00000XOrthopaedic Surgery00117RHODE 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
1410011MEDICARE OSCAR/CERTIFICATIONRHODE 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: 11/14/2023

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