Eric Berthiaume, MD, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

11821 Issued in RI

Legal business name

ERIC BERTHIAUME, MD, LLC

Practice address

1407 South County Trail
Building 4 Suite 410
East Greenwich, RI 02818

Phone

(401) 886-4040

Fax

(401) 886-4010

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Thomas E. Sepe, M.D.NPI 1508937889

Title

Member

Phone

(401) 421-8800

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Thomas E. Sepe, MD

  • Gastroenterology Physician
  • Providence, RI
  • NPI 1508937889
  Authorized official Same address or phone
• Sheldon Lidofsky, MD

  • Gastroenterology Physician
  • Providence, RI
  • NPI 1447336904
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1205920782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 STANIFORD ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053105",
            "telephone_number": "401-421-8800",
            "fax_number": "401-273-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 SOUTH COUNTY TRAIL",
            "address_2": "BUILDING 4 SUITE 410",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "02818",
            "telephone_number": "401-886-4040",
            "fax_number": "401-886-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC BERTHIAUME, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "SEPE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "401-421-8800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "RI",
            "license": "11821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Health, LLC
• Kristen Ann Emery, RDH
• Endres & Associates, LLC
• Kimberly Renee Endres, LMHC
• Arthur Entwistle IV, MED, ATC, LAT
• Eric P. Berthiaume Medical Inc.
• Erin G. Ruell, LMHC LLC
• Eunovia Wellness LLC
• Holly Everett, CPD(DONA)
• Jaime Elizabeth Fahy, FNP-C

• Gastroenterology Physician in East Greenwich, RI
• Providers in East Greenwich, RI by specialty
• Gastroenterology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.

Verify at the official NPI Registry.