Ocean State Primary Care Center of Westerly, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OCEAN STATE PRIMARY CARE CENTER OF WESTERLY, LLC

Practice address

77 Franklin Street
Westerly, RI 02891

Phone

(401) 596-6464

Fax

(401) 348-8660

NPI assigned

Mar 4, 2014

Organization subpart

No

Name

Mr. Jonathan Hamilton Martin, MD

Title

Owner/Physician

Phone

(401) 596-6464

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2014.

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1265857007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 FRANKLIN STREET",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "02891",
            "telephone_number": "401-596-6464",
            "fax_number": "401-348-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 FRANKLIN STREET",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "02891",
            "telephone_number": "401-596-6464",
            "fax_number": "401-348-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN STATE PRIMARY CARE CENTER OF WESTERLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "HAMILTON",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "401-596-6464",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Timothy H Olson, M.D.

• All providers in Westerly, RI
• Family Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.