Active NPI
Frank J Schaberg, M.D.
- Surgery Physician
- Pawtucket, RI
National Provider Identifier
1104872688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD04946
- Practice address
- 111 Brewster St
Pawtucket, RI 02860-4400 - Phone
- (401) 729-2127
- Fax
- (401) 729-2781
- NPI assigned
- May 26, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 31719 | MA | |
| Surgery Physician | 208600000X | MD04946 | RI | Primary |
| Vascular Surgery Physician | 2086S0129X | MD4946 | RI |
Addresses
Primary practice location
111 Brewster St
Pawtucket, RI 02860-4400
Mailing address
111 Brewster St
Pawtucket, RI 02860-4400
Phone (401) 729-2127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9006523 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31719 | MA | MD | Surgery Physician |
| MD04946 | RI | MD | Surgery Physician |
| MD4946 | RI | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Hospital | Past | Accepting new patients | |
| University Surgical Associates, Inc. | Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Transplant Surgery Physician
- Providence, RI
- NPI 1174605208
-
- Surgery Physician
- Providence, RI
- NPI 1376589895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1104872688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 BREWSTER ST",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028604400",
"telephone_number": "401-729-2127",
"fax_number": "401-729-2781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 BREWSTER ST",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028604400",
"telephone_number": "401-729-2127",
"fax_number": "401-729-2781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHABERG",
"first_name": "FRANK",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "31719",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "RI",
"license": "MD04946",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "RI",
"license": "MD4946",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9006523",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.