Active NPI
Elizabeth Mewha, PAC
- Physician Assistant
- Providence, RI
National Provider Identifier
1023564358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00885
- Practice address
- 593 Eddy Street
Claverick 2
Providence, RI 02903 - Phone
- (401) 444-5451
- Fax
- (401) 444-5922
- NPI assigned
- Aug 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00885 | RI | Primary |
Addresses
Primary practice location
593 Eddy Street
Claverick 2
Providence, RI 02903
Mailing address
University Emergency Medicine Foundation
125 Whipple Street 3Rd Floor
Providence, RI 02908-3258
Phone (401) 854-2504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00885 | RI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LMW Healthcare Inc. | Physician Assistant | Current | Accepting new patients |
| Lawrence and Memorial Hospital, Inc. | Current | Accepting new patients | |
| Lawrence and Memorial Hospital, Inc. | Physician Assistant | Current | Accepting new patients |
Locations
365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364
25 Wells St
Westerly, RI 02891
Phone (401) 348-3325
Interoperability endpoints
- emewha633019@direct.ynhh.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- New London, CT
- NPI 1073530879
Physician Assistant
-
- Community/Retail Pharmacy
- New London, CT
- NPI 1184402331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472342400000",
"number": "1023564358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNIVERSITY EMERGENCY MEDICINE FOUNDATION",
"address_2": "125 WHIPPLE STREET 3RD FLOOR",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029083258",
"telephone_number": "401-854-2504",
"fax_number": "401-427-7795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY STREET",
"address_2": "CLAVERICK 2",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02903",
"telephone_number": "401-444-5451",
"fax_number": "401-444-5922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEWHA",
"first_name": "ELIZABETH",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-28",
"last_updated": "2016-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "RI",
"license": "PA00885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.