Christopher Baze, DO
Individual provider Active NPI Emergency Medicine Physician · Warwick, RI
NPI 1003550401 · NPPES record last updated Jun 20, 2022
Key facts
- NPI
- 1003550401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- LP05769 (RI)
- Practice address
- 455 Toll Gate Rd
Warwick, RI 02886-2759 - Phone
- (401) 737-7010
- NPI assigned
- Apr 22, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
275 R Forge Rd
North Kingstown, RI 02852-1009
4535 Dressier Rd NW
Canton, OH 44718-2545
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260413002530 | CO | Practitioner - Emergency Medicine | 5496135535 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | LP05769 | RI | Yes |
Addresses
Primary practice location
455 Toll Gate Rd
Warwick, RI 02886-2759
Mailing address
455 Toll Gate Rd
Warwick, RI 02886-2759
Other providers in Warwick, RI
- Bayside Endocrinology Inc
- Bayside Nursing LLC
- Bayside Nursing LLC
- Christopher Bayston
- Bayview Pharmacy
- Rachel Erin Beard
- Diana Rose Beaton
- Candice S Beaubian-Espinoza
- Ashley Beauchemin
- Tasha Beaudin
All providers in Warwick, RI · Emergency Medicine Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.