Active NPI
Roger Williams Hospital
Doing business as Roger Williams Hospitalist Group
- Internal Medicine Physician
- Providence, RI
National Provider Identifier
1053345942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- HOS00108
- Legal business name
- ROGER WILLIAMS HOSPITAL
- Doing business as
- Roger Williams Hospitalist Group
- Practice address
- 825 Chalkstone Ave
Providence, RI 02908-4728 - Phone
- (401) 456-4593
- Fax
- (401) 456-6718
- NPI assigned
- Jul 10, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lynn A Dionne
- Title
- A/R Analyst
- Phone
- (401) 456-2677
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | HOS00108 | RI | Primary |
Addresses
Primary practice location
825 Chalkstone Ave
Providence, RI 02908-4728
Mailing address
825 Chalkstone Ave
Providence, RI 02908-4728
Phone (401) 456-4593
Other names 1
- ROGER WILLIAMS HOSPITALIST GROUP
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053345942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 CHALKSTONE AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029084728",
"telephone_number": "401-456-4593",
"fax_number": "401-456-6718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 CHALKSTONE AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029084728",
"telephone_number": "401-456-4593",
"fax_number": "401-456-6718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROGER WILLIAMS HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DIONNE",
"authorized_official_first_name": "LYNN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "A/R ANALYST",
"authorized_official_telephone_number": "401-456-2677"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "RI",
"license": "HOS00108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ROGER WILLIAMS HOSPITALIST GROUP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Providence, RI
- Vanessa Rodriguez
- Victor Manuel Rodriguez Jr., BOARD-CERTIFIED CHAP
- Adam Rodriquez, M.A., LMHC
- Thomas Allen Roesler, MD
- Roger J Ferland, M.D., P.C. (GYN Specialist)
- Roger Williams Hospital (Roger Williams Oncology)
- Roger Williams Hospital (Roger Williams Primary Care Phyician Group)
- Roger Williams Hospital (Roger Williams Ekg Group)
- Roger Williams Hospital
- Roger Williams Hospital (Roger Williams Hematology/Oncolocy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.