Organization Active NPI

Radiology Associates Inc

  • Diagnostic Radiology Physician
  • Providence, RI
National Provider Identifier
1043213754
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
RAD0090 Issued in RI
Legal business name
RADIOLOGY ASSOCIATES INC
Practice address
235 Plain St Lowr Level
Providence, RI 02905-3240
Phone
(401) 272-8510
Fax
(401) 272-0315
NPI assigned
May 27, 2005
Organization subpart
Yes
Parent organization
RADIOLOGY ASSOCIATES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
Lisa Marquis
Title
Billing Manager
Phone
(401) 762-0020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X RAD0090 RI Primary
Diagnostic Ultrasound PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085U0001X RAD0090 RI

Addresses

Primary practice location

235 Plain St Lowr Level
Providence, RI 02905-3240

Mailing address

38 Hamlet Ave
Woonsocket, RI 02895-4423
Phone (401) 762-0020

Other identifiers 14

IdentifierTypeStateIssuer
9782109MedicaidMA
20407OtherFALLON
9782109OtherMAHEALTHY START
0845OtherRINHP RI
236OtherRIRI BCBS
603550OtherHPHC
431721601OtherMEME MEDICAID
705830OtherTUFTS
0008792OtherMANHP MA
50RADINCMMA01OtherCTANTHEM BCBS
CPG0000302OtherRIBLUECHIP
M16192OtherMAMA BCBS
16-00136OtherUHC
9000236MedicaidRI

National Provider Directory

National Provider Directory
Part of
Radiology Associates

Locations

235 Plain St
Lowr
Providence, RI 02905
Phone (401) 272-8510

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1043213754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 HAMLET AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954423",
            "telephone_number": "401-762-0020",
            "fax_number": "401-762-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PLAIN ST LOWR LEVEL",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053240",
            "telephone_number": "401-272-8510",
            "fax_number": "401-272-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY ASSOCIATES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RADIOLOGY ASSOCIATES INC",
        "enumeration_date": "2005-05-27",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "MARQUIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "401-762-0020"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "RAD0090",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "RI",
            "license": "RAD0090",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9782109",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "20407",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY START",
            "identifier": "9782109",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP RI",
            "identifier": "0845",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BCBS",
            "identifier": "236",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "603550",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME MEDICAID",
            "identifier": "431721601",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "705830",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP MA",
            "identifier": "0008792",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "50RADINCMMA01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP",
            "identifier": "CPG0000302",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA BCBS",
            "identifier": "M16192",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "16-00136",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000236",
            "state": "RI"
        }
    ],
    "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 Sep 28, 2011; 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.