NPIMap

Organization Active NPI

Rhode Island Dermatology Obs

  • Ambulatory Surgical Clinic/Center
  • Lincoln, RI
National Provider Identifier
1235202201
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
RHODE ISLAND DERMATOLOGY OBS
Practice address
3 Wake Robin Rd
Unit 5
Lincoln, RI 02865-4208
Phone
(401) 475-9140
Fax
(401) 475-9143
NPI assigned
Nov 16, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Susan Schumacher
Title
Billing Manager
Phone
(401) 475-9140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X RI Primary

Addresses

Primary practice location

3 Wake Robin Rd
Unit 5
Lincoln, RI 02865-4208

Mailing address

3 Wake Robin Rd
Unit 5
Lincoln, RI 02865-4208
Phone (401) 475-9140

National Provider Directory

National Provider Directory

Locations

3 Wake Robin Rd
Ste 5
Lincoln, RI 02865
Phone (401) 475-9140

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1235202201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WAKE ROBIN RD",
            "address_2": "UNIT 5",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654208",
            "telephone_number": "401-475-9140",
            "fax_number": "401-475-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WAKE ROBIN RD",
            "address_2": "UNIT 5",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654208",
            "telephone_number": "401-475-9140",
            "fax_number": "401-475-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHODE ISLAND DERMATOLOGY OBS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SCHUMACHER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "401-475-9140",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.