Dr. K. Humulock, Internal Medicine Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DO00521 Issued in RI

Legal business name

DR. K. HUMULOCK, INTERNAL MEDICINE INC.

Practice address

190 Commerce Dr
Warwick, RI 02886-2430

Phone

(401) 921-5970

Fax

(401) 921-5973

NPI assigned

Jan 30, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Humulock

Title

Office Manager

Phone

(401) 921-5970

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jason Bashir Boudjouk, M.D.

  • Internal Medicine Physician
  • Warwick, RI
  • NPI 1255376455
  NPD (past)
• Kimberly J Humulock, DO

  • Internal Medicine Physician
  • Warwick, RI
  • NPI 1831154574
  NPD (past)

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1265770937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 MAPLEHURST DR",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823815",
            "telephone_number": "401-413-5332",
            "fax_number": "401-921-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 COMMERCE DR",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862430",
            "telephone_number": "401-921-5970",
            "fax_number": "401-921-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. K. HUMULOCK, INTERNAL MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "HUMULOCK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "401-921-5970",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "DO00521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Warwick, RI
• Providers in Warwick, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.