Memorial Hospital

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

MEMORIAL HOSPITAL

Practice address

Memorial Hospital of Rhode Island
111 Brewster Street
Pawtucket, RI 02860-4400

Phone

(401) 729-2000

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Francis R Dietz

Title

Ceopresident

Phone

(401) 729-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Emergency Room Medical Staff Other name

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1043430929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEMORIAL HOSPITAL OF RHODE ISLAND",
            "address_2": "111 BREWSTER STREET",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604400",
            "telephone_number": "401-729-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEMORIAL HOSPITAL OF RHODE ISLAND",
            "address_2": "111 BREWSTER STREET",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604400",
            "telephone_number": "401-729-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "DIETZ",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEOPRESIDENT",
        "authorized_official_telephone_number": "401-729-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9001088",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Room Medical Staff",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Fofana Mariam Meite
• Melissa Mejia Montero
• Patrice A. Melo, LCDP
• Denise Judith Melucci, RN
• Melvin J Mancini DPM
• Memorial Hospital
• Memorial Hospital
• Memorial Hospital
• Memorial Hospital
• Memorial Hospital

• Emergency Medicine Physician in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Emergency Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.