Landmark Medical Center

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

00117 Issued in RI

Legal business name

LANDMARK MEDICAL CENTER

Doing business as

Landmark MC EKG Dept.

Practice address

115 Cass Ave
Woonsocket, RI 02895-4705

Phone

(401) 769-4100

Fax

(401) 765-6024

NPI assigned

Dec 29, 2005

Last updated

Jul 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Charest

Title

President

Phone

(401) 769-4100

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Landmark MC EKG Dept. Doing business as

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1043297112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 CASS AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954712",
            "telephone_number": "401-769-4100",
            "fax_number": "401-765-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CASS AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954705",
            "telephone_number": "401-769-4100",
            "fax_number": "401-765-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "CHAREST",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-769-4100"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "00117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN (OP)",
            "identifier": "903288",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN (IP)",
            "identifier": "903289",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9006486",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD/BLUE CHIP",
            "identifier": "0000006486",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Landmark MC EKG Dept.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Lambert, LCSW
• Tara A Lambert, BS
• Thomas J Lambert
• Louise R Lamountain III
• Garron Lamp, MD
• Landmark Medical Center (Landmark MC Occupational Medicine Dept. NP)
• Landmark Medical Center (Landmark MC Occupational Health Dept.)
• Landmark Medical Center (Landmark MC Pathology Dept.)
• Landmark Medical Center (LAndmark Health Services)
• Landmark Medical Center (Landmark MC Nuclear Med Dept.)

• Cardiovascular Disease Physician in Woonsocket, RI
• Providers in Woonsocket, RI by specialty
• Cardiovascular Disease Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.