Ocean State Primary Care Center of Coventry, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OCEAN STATE PRIMARY CARE CENTER OF COVENTRY, LLC

Practice address

982 Tiogue Ave
Coventry, RI 02816-6116

Phone

(401) 821-6800

Fax

(401) 821-8513

NPI assigned

Apr 6, 2015

Organization subpart

No

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

Authorized official

Name

Jonathan H. Martin, MD

Title

Managing Partner

Phone

(401) 821-6800

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert S Crausman, M.D.

  • Internal Medicine Physician
  • Fall River, MA
  • NPI 1790880490
  NPD (past)

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1134514276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "982 TIOGUE AVE",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028166116",
            "telephone_number": "401-821-6800",
            "fax_number": "401-821-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "982 TIOGUE AVE",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028166116",
            "telephone_number": "401-821-6800",
            "fax_number": "401-821-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN STATE PRIMARY CARE CENTER OF COVENTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "401-821-6800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northland Hearing Center, Inc.
• Jennifer O'Brien, PT, DPT
• Cara Anne O'Connor, FNP
• Brendan O'Donnell
• Ocean State Family Dental
• Ocean State Urgent Care Center of Coventry, LLC
• Nicole Ann Oksanish, FNP-C, RN
• Ashley Oliveras, LMT
• Kathleen Marie Olsson, OTRL
• Sarah A Ostrom, LICSW

• Family Medicine Physician in Coventry, RI
• Providers in Coventry, RI by specialty
• Family Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.