Infectious Diseases Associates of Rhode Island

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

MD07281 Issued in RI

Legal business name

INFECTIOUS DISEASES ASSOCIATES OF RHODE ISLAND

Practice address

115 Cass Avenue - 3Rd Floor
C/O Landmark Medical
Woonsocket, RI 02895

Phone

(401) 769-4100

Fax

(401) 767-1633

NPI assigned

Jul 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Glenn G Fort, MD, MPHNPI 1114900024

Title

Ceo

Phone

(401) 766-3428

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenn G. Fort, MD

  • Internal Medicine Physician
  • Woonsocket, RI
  • NPI 1114900024
  Medicare reassignment Care Compare group Authorized official
• Patricia Cristofaro, MD

  • Infectious Disease Physician
  • Greenville, RI
  • NPI 1598798688
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1043507734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 HIGHLAND AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028869418",
            "telephone_number": "401-766-3428",
            "fax_number": "401-767-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CASS AVENUE - 3RD FLOOR",
            "address_2": "C/O LANDMARK MEDICAL",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "02895",
            "telephone_number": "401-769-4100",
            "fax_number": "401-767-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASES ASSOCIATES OF RHODE ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "FORT",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "401-766-3428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "RI",
            "license": "MD07281",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "RI",
            "license": "06195",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odeosamamwen Idahor, MD
• Marian E Idahosa
• Hafiza Iman
• In Good Hands Home Care Services.Inc
• In Person, Virtual Medical Services PLLC
• Stacy Inman, PHARMD, CDE
• Integrimed LLC
• Intensivists at Woonsocket
• Sohaib Irfan, M.D.
• Usman Ismail

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.