Organization Active NPI

Valley Primary Care Inc

  • Family Medicine Physician
  • Middletown, RI
National Provider Identifier
1104048396
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD07423 Issued in RI
Legal business name
VALLEY PRIMARY CARE INC
Practice address
294 Valley Road
Middletown, RI 02842
Phone
(401) 847-7772
Fax
(401) 846-4959
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Paul V Del Guercio, MD
Title
Physician Owner
Phone
(401) 847-7772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD07423 RI Primary

Addresses

Primary practice location

294 Valley Road
Middletown, RI 02842

Mailing address

294 Valley Road
Middletown, RI 02842
Phone (401) 847-7772

Other identifiers 1

IdentifierTypeStateIssuer
9020091MedicaidRI

National Provider Directory

National Provider Directory

Locations

294 Valley Rd
Middletown, RI 02842
Phone (401) 275-5656

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1104048396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 VALLEY ROAD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "02842",
            "telephone_number": "401-847-7772",
            "fax_number": "401-846-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 VALLEY ROAD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "02842",
            "telephone_number": "401-847-7772",
            "fax_number": "401-846-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "DEL GUERCIO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "401-847-7772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD07423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9020091",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.