Jack L Schwartzwald, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD08226 Issued in RI

Practice address

100 Kenyon Ave
Wakefield, RI 02879-4216

Phone

(401) 788-1590

Fax

(401) 788-1593

NPI assigned

Jun 22, 2006

Last updated

Dec 3, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Rutgers New Jersey Medical School, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Silver Spring Health Care Management IncGroup PAC ID 4688661127, 136 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South County Hospital Inc Hospital, Wakefield, RI, CCN 410008

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Silver Spring Health Care Management, Inc.

  dba SCMG Hospitalists

  • Internal Medicine Physician
  • Wakefield, RI
  • NPI 1861561193
  Medicare reassignment Care Compare group NPD
• Silver Spring Health Care Management, Inc.

  dba SCMG Nursery

  • Pediatrics Physician
  • Wakefield, RI
  • NPI 1992224497
  NPD
• Atlantic Professional Services of Rhode Island Incorporated

  • Hospitalist Physician
  • Wakefield, RI
  • NPI 1922036946
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South County Hospital Healthcare System

  • General Acute Care Hospital
  • Wakefield, RI
  • NPI 1952366106
  Care Compare affiliation

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1013953439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028800229",
            "telephone_number": "401-788-3337",
            "fax_number": "401-788-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KENYON AVE",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794216",
            "telephone_number": "401-788-1590",
            "fax_number": "401-788-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZWALD",
        "first_name": "JACK",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD08226",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "RI",
            "license": "MD08226",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9006672",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kate Saxon, LCSW
• Christina Schiltz
• Steven Howard Schneider, MD
• Alexis T Schonrog, LICSW
• Christine Schwab-Boudreau, CRNA
• Mary Ann K. Scott, LICSW
• Seacoast Eye Associates Inc
• Christopher W. Seidler, MD
• Donna Marie Sennett, MA
• Shannock Road Group Home

• Internal Medicine Physician in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.