Active NPI
The Miriam Hospital
- Cardiovascular Disease Physician
- Providence, RI
National Provider Identifier
1255428504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- THE MIRIAM HOSPITAL
- Practice address
- 164 Summit Ave
Fain 2
Providence, RI 02906-2853 - Phone
- (401) 793-5757
- Fax
- (401) 793-7877
- NPI assigned
- Oct 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eva Greenwood
- Title
- SVP, Finance
- Phone
- (401) 444-7914
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
164 Summit Ave
Fain 2
Providence, RI 02906-2853
Mailing address
15 La Salle SQ
Providence, RI 02903-1814
Phone (014) 446-7794
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TM52532 | Medicaid | RI |
Other names 1
- d/b/a TMH Women's Cardiac Center
National Provider Directory
National Provider DirectoryLocations
164 Summit Ave
#2
Providence, RI 02906
Phone (401) 793-5757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765411200000",
"number": "1255428504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 LA SALLE SQ",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029031814",
"telephone_number": "014-446-7794",
"fax_number": "401-444-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 SUMMIT AVE",
"address_2": "FAIN 2",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029062853",
"telephone_number": "401-793-5757",
"fax_number": "401-793-7877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE MIRIAM HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A",
"authorized_official_last_name": "GREENWOOD",
"authorized_official_first_name": "EVA",
"authorized_official_title_or_position": "SVP, FINANCE",
"authorized_official_telephone_number": "401-444-7914"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TM52532",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "d/b/a TMH Women's Cardiac Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "d/b/a TMH Women's Cardiac Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.