DEIRDRE FEARON MD NPI 1487675377

NPI Information

NPI: 1487675377
Provider Name: DEIRDRE FEARON, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
593 EDDY ST
CLAVERICK 2
PROVIDENCE, RI
ZIP 02903
Phone: (401) 854-2504
Get Directions

Deirdre Fearon, MD is a pediatric emergency medicine pediatrics in Providence, RI. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Deirdre Fearon, MD NPI is 1487675377. 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:

593 EDDY ST
CLAVERICK 2
PROVIDENCE, RI
ZIP 02903-923
Phone: (401) 854-2504
Fax: (401) 854-2519

The NPI 1487675377 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 7/23/2006 and was last updated on 9/17/2013.

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		MD10068	RHODE ISLAND	No
2	2080P0204X	Pediatrics	Pediatric Emergency Medicine	MD10068	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	3204898	MEDICAID	MASSACHUSETTS
2	7007378	MEDICAID	RHODE ISLAND
3	939025129	OTHER	RHODE ISLAND	RI MEDICARE GROUP NUMBER
4	H01701	MEDICARE UPIN	RHODE ISLAND
5	12/29/2008	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
6	12/14/2006	OTHER	RHODE ISLAND	NHPRI
7	1487675377	OTHER	RHODE ISLAND	NPI
8	370015303	OTHER	RHODE ISLAND	RAILROAD MEDICARE
9	007007378	MEDICARE ID-TYPE UNSPECIFIED	RHODE 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

NPI Synchronization or Removal

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.

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