Organization Active NPI

University Pulmonary Associates

  • Pulmonary Disease Physician
  • East Greenwich, RI
National Provider Identifier
1093889214
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
UNIVERSITY PULMONARY ASSOCIATES
Practice address
1407 South County Trail
Building 4, 3Rd Floor, Suite 430a
East Greenwich, RI 02818
Phone
(401) 886-7910
Fax
(401) 886-7913
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Denise Stevenson
Title
Office Manager
Phone
(401) 886-7910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

1407 South County Trail
Building 4, 3Rd Floor, Suite 430a
East Greenwich, RI 02818

Mailing address

1407 South County Trail
Building 4, 3Rd Floor, Suite 430a
East Greenwich, RI 02818
Phone (401) 886-7910

Other identifiers 1

IdentifierTypeStateIssuer
UP46153MedicaidRI

National Provider Directory

National Provider Directory

Locations

1407 S County Trl
Ste 430A
East Greenwich, RI 02818
Phone (401) 886-7910

1407 S County Trl
East Greenwich, RI 02818
Phone (401) 886-4040

1407 S County Trl
#4
East Greenwich, RI 02818

1407 S County Trl
Bldg 4
East Greenwich, RI 02818
Phone (401) 886-7910

1407 S County Trl
Fl 3
East Greenwich, RI 02818
Phone (401) 886-7910

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1093889214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 SOUTH COUNTY TRAIL",
            "address_2": "BUILDING 4, 3RD FLOOR, SUITE 430A",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "02818",
            "telephone_number": "401-886-7910",
            "fax_number": "401-886-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 SOUTH COUNTY TRAIL",
            "address_2": "BUILDING 4, 3RD FLOOR, SUITE 430A",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "02818",
            "telephone_number": "401-886-7910",
            "fax_number": "401-886-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PULMONARY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "401-886-7910"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "UP46153",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.