Active NPI
Physicians of Rhode Island Medical Enterprises, Inc.
- Internal Medicine Physician
- Cumberland, RI
National Provider Identifier
1063402964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PHYSICIANS OF RHODE ISLAND MEDICAL ENTERPRISES, INC.
- Practice address
- 106 Nate Whipple Hwy
Suite 101 Cumberland Medical Center
Cumberland, RI 02864-1403 - Phone
- (401) 658-2020
- Fax
- (401) 658-3612
- NPI assigned
- Oct 24, 2005
- 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
- Scott Wilson, M.D.
- Title
- President
- Phone
- (401) 658-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
106 Nate Whipple Hwy
Suite 101 Cumberland Medical Center
Cumberland, RI 02864-1403
Mailing address
PO Box 27
Manville, RI 02838-0027
Phone (800) 927-0002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PR32677 | Medicaid | RI | |
| 685836 | Other | MA | TUFTS |
National Provider Directory
National Provider DirectoryLocations
470 Toll Gate Rd
Ste 202
Warwick, RI 02886
Phone (401) 391-1310
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- South Easton, MA
- NPI 1134350424
-
- Medical Oncology Physician
- Lady Lake, FL
- NPI 1356332506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297036800000",
"number": "1063402964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27",
"city": "MANVILLE",
"state": "RI",
"postal_code": "028380027",
"telephone_number": "800-927-0002",
"fax_number": "603-890-1236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 NATE WHIPPLE HWY",
"address_2": "SUITE 101 CUMBERLAND MEDICAL CENTER",
"city": "CUMBERLAND",
"state": "RI",
"postal_code": "028641403",
"telephone_number": "401-658-2020",
"fax_number": "401-658-3612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS OF RHODE ISLAND MEDICAL ENTERPRISES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-24",
"last_updated": "2011-02-07",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "401-658-2020",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PR32677",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "685836",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cumberland, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.