Organization Active NPI

Armistice Primary Care, LLC

  • Gastroenterology Physician
  • Pawtucket, RI
National Provider Identifier
1013243831
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ARMISTICE PRIMARY CARE, LLC
Practice address
209 Armistice Blvd
Pawtucket, RI 02860-3242
Phone
(401) 725-4100
Fax
(401) 728-5010
NPI assigned
Oct 29, 2009
Last updated
Mar 24, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
ARMISTICE URGENT CARE & OCCUPATIONAL HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anne E. Nevers
Title
Office Manager
Phone
(401) 725-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X Primary

Addresses

Primary practice location

209 Armistice Blvd
Pawtucket, RI 02860-3242

Mailing address

209 Armistice Blvd
Pawtucket, RI 02860-3242
Phone (401) 725-4100

National Provider Directory

National Provider Directory
Part of
Armistice Urgent Care Occ

Locations

209 Armistice Blvd
Pawtucket, RI 02860
Phone (401) 725-4100

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1013243831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 ARMISTICE BLVD",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028603242",
            "telephone_number": "401-725-4100",
            "fax_number": "401-728-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 ARMISTICE BLVD",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028603242",
            "telephone_number": "401-725-4100",
            "fax_number": "401-728-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARMISTICE PRIMARY CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARMISTICE URGENT CARE & OCCUPATIONAL HEALTH, INC.",
        "enumeration_date": "2009-10-29",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "NEVERS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "401-725-4100"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.