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PROSPECT CHARTERCARE PHYSICIANS LLC NPI 1629493135


NPI Information

NPI: 1629493135
Provider Name: PROSPECT CHARTERCARE PHYSICIANS, LLC

Doing Business As: CHARTERCARE MEDICAL ASSOCIATES

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 41D2175018

Address:
1681 CRANSTON ST
CRANSTON, RI
ZIP 02920
Phone: (401) 944-6889
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PROSPECT CHARTERCARE PHYSICIANS, LLC is an internal medicine in Cranston, RI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PROSPECT CHARTERCARE PHYSICIANS, LLC NPI is 1629493135. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Chartercare Medical Associates.

The provider's business location address is:

1681 CRANSTON ST
CRANSTON, RI
ZIP 02920-000
Phone: (401) 944-6889
Fax: (401) 944-6726

The provider's authorized official is Robert Jon Elders .
The authorized official title is Secretary and has the following contact phone number (714) 788-1249.

The CLIA number assigned to this NPI record is 41D2175018 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2014 and was last updated on 8/23/2021.


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
1133N00000XNutritionistNo
2133VN1006XDietitian, RegisteredNutrition, MetabolicNo
3207N00000XDermatologyPR98473RHODE ISLANDNo
4207Q00000XFamily MedicineNo
5207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
6207RG0100XInternal MedicineGastroenterologyNo
7207RH0003XInternal MedicineHematology & OncologyNo
8207RI0200XInternal MedicineInfectious DiseaseNo
9207RP1001XInternal MedicinePulmonary DiseaseNo
10207T00000XNeurological SurgeryNo
112084N0400XPsychiatry & NeurologyNeurologyNo
12208600000XSurgeryNo
13208800000XUrologyNo
14207R00000XInternal MedicineYes

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.