Organization Active NPI

Pawtuxet Valley Family Care, LLC

  • Family Medicine Physician
  • Coventry, RI
National Provider Identifier
1053432740
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PAWTUXET VALLEY FAMILY CARE, LLC
Practice address
982 Tiogue Ave
Coventry, RI 02816-6167
Phone
(401) 821-6800
Fax
(401) 821-8513
NPI assigned
Apr 2, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
PAWTUXET VALLEY MEDICAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Daniel F Collins, M.D.NPI 1104874320
Title
Owner/President
Phone
(401) 821-6800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

982 Tiogue Ave
Coventry, RI 02816-6167

Mailing address

982 Tiogue Ave
Coventry, RI 02816-6167
Phone (401) 821-6800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1053432740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "982 TIOGUE AVE",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028166167",
            "telephone_number": "401-821-6800",
            "fax_number": "401-821-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "982 TIOGUE AVE",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028166167",
            "telephone_number": "401-821-6800",
            "fax_number": "401-821-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAWTUXET VALLEY FAMILY CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAWTUXET VALLEY MEDICAL, INC.",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "401-821-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coventry, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.