Pawtucket Primary Care Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

RI8466 Issued in RI

Legal business name

PAWTUCKET PRIMARY CARE INC.

Practice address

333 School St Ste 107
Pawtucket, RI 02860-5335

Phone

(401) 351-1900

NPI assigned

May 4, 2018

Organization subpart

No

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

Authorized official

Name

Anthony G Farina, MD

Title

Owner

Phone

(401) 351-1900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1104315258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 MINERAL SPRING AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029043864",
            "telephone_number": "401-351-1900",
            "fax_number": "401-615-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SCHOOL ST STE 107",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605335",
            "telephone_number": "401-351-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAWTUCKET PRIMARY CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "FARINA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-351-1900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "RI8466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred A Paul, MD
• David Pavao, DPT
• Buck Pavoni, MASTERS
• Pawtucket Day Child Development Center
• Pawtucket Orthodontics LLC
• Pawtucket Primary Care LLC
• Pawtucket School Department
• Pawtucket School Department
• Pawtucket SNF Operator LLC
• Carolyn Pearce, MD

• Internal Medicine Physician in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.