Active NPI
Paul W Wehbe, MD
- Pediatrics Physician
- Providence, RI
National Provider Identifier
1083683148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD09832
- Practice address
- 1 Randall SQ
Suite 404-406
Providence, RI 02904-2709 - Phone
- (401) 861-5183
- Fax
- (401) 861-5276
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD09832 | RI | Primary |
Addresses
Primary practice location
1 Randall SQ
Suite 404-406
Providence, RI 02904-2709
Mailing address
1 Randall SQ
Suite 404-406
Providence, RI 02904-2709
Phone (401) 861-5183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9020572 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD09832 | RI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Pediatrics LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BHCBCA/Endpoint/BHCBCA
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Providence, RI
- NPI 1235315284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217116800000",
"number": "1083683148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 RANDALL SQ",
"address_2": "SUITE 404-406",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029042709",
"telephone_number": "401-861-5183",
"fax_number": "401-861-5276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RANDALL SQ",
"address_2": "SUITE 404-406",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029042709",
"telephone_number": "401-861-5183",
"fax_number": "401-861-5276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEHBE",
"first_name": "PAUL",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2008-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "RI",
"license": "MD09832",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9020572",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.