Active NPI
Valley Primary Care Inc
- Family Medicine Physician
- Middletown, RI
National Provider Identifier
1104048396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD07423
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9020091 | Medicaid | RI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nurse Practitioner
- Middletown, RI
- NPI 1508905365
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.