Active NPI
Cardiovascular Associates of Ri, Inc.
- Cardiovascular Disease Physician
- Providence, RI
National Provider Identifier
1275565012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 12053
- Legal business name
- CARDIOVASCULAR ASSOCIATES OF RI, INC.
- Practice address
- 1076 North Main Street
Providence, RI 02904 - Phone
- (401) 273-2460
- Fax
- (401) 273-2489
- NPI assigned
- Jul 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
- Michael K Hyder, MD
- Title
- President
- Phone
- (401) 273-2460
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | RI | ||
| Cardiovascular Disease Physician | 207RC0000X | 12053 | RI | Primary |
Addresses
Primary practice location
1076 North Main Street
Providence, RI 02904
Mailing address
1076 North Main Street
Providence, RI 02904
Phone (401) 273-2460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000648 | Medicaid | RI |
National Provider Directory
National Provider DirectoryLocations
37 Commerce Way
Unit 100
Seekonk, MA 02771
1076 N Main St
Providence, RI 02904
Phone (401) 273-2460
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- North Smithfield, RI
- NPI 1194096834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285718400000",
"number": "1275565012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1076 NORTH MAIN STREET",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02904",
"telephone_number": "401-273-2460",
"fax_number": "401-273-2489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1076 NORTH MAIN STREET",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02904",
"telephone_number": "401-273-2460",
"fax_number": "401-273-2489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOVASCULAR ASSOCIATES OF RI, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2010-09-29",
"status": "A",
"authorized_official_last_name": "HYDER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "401-273-2460",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "RI",
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "RI",
"license": "12053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000648",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
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 Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.