Roger Williams Hospital

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

HOS00108 Issued in RI

Legal business name

ROGER WILLIAMS HOSPITAL

Doing business as

Roger Williams Ekg Group

Practice address

825 Chalkstone Ave
Providence, RI 02908-4728

Phone

(401) 456-2538

Fax

(401) 456-2582

NPI assigned

Jun 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lynn A Dionne

Title

A/R Analyst

Phone

(401) 456-2677

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ROGER WILLIAMS EKG GROUP Doing business as

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275561953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CHALKSTONE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084728",
            "telephone_number": "401-456-2538",
            "fax_number": "401-456-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 CHALKSTONE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084728",
            "telephone_number": "401-456-2538",
            "fax_number": "401-456-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER WILLIAMS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIONNE",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "A/R ANALYST",
        "authorized_official_telephone_number": "401-456-2677"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "HOS00108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9006149",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROGER WILLIAMS EKG GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Allen Roesler, MD
• Roger J Ferland, M.D., P.C. (GYN Specialist)
• Roger Williams Hospital (Roger Williams Hospitalist Group)
• Roger Williams Hospital (Roger Williams Oncology)
• Roger Williams Hospital (Roger Williams Primary Care Phyician Group)
• Roger Williams Hospital
• Roger Williams Hospital (Roger Williams Hematology/Oncolocy)
• Roger Williams Hospital
• Roger Williams Hospital (RW Mobile Care)
• Roger Williams Medical Associates Inc.

• Cardiovascular Disease Physician in Providence, RI
• Providers in Providence, RI by specialty
• Cardiovascular Disease Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.