Organization Active NPI

Atlantic Medical Group Inc.

  • Surgery Physician
  • Westerly, RI
National Provider Identifier
1124289673
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ATLANTIC MEDICAL GROUP INC.
Practice address
25 Wells St
Westerly, RI 02891-2922
Phone
(401) 596-6000
NPI assigned
Jun 18, 2008
Last updated
Apr 11, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY HEALTH OF WESTERLYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Authorized official

Name
Ms. Jeanne Marie Lachance
Title
Evp
Phone
(401) 348-3711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

25 Wells St
Westerly, RI 02891-2922

Mailing address

P.O. Box 2176
Westerly, RI 02891
Phone (401) 315-2222

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1124289673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2176",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "02891",
            "telephone_number": "401-315-2222",
            "fax_number": "401-315-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WELLS ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912922",
            "telephone_number": "401-596-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC MEDICAL GROUP INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH OF WESTERLY",
        "enumeration_date": "2008-06-18",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "LACHANCE",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "401-348-3711",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.