Seaside Internal Medicine,Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SEASIDE INTERNAL MEDICINE,INC.

Practice address

85 Beach St
85 Beach St.
Westerly, RI 02891-2717

Phone

(401) 596-0328

Fax

(401) 348-8629

NPI assigned

Jul 10, 2008

Organization subpart

No

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

Authorized official

Name

John C Beauchamp, MD

Title

President

Phone

(401) 596-0328

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1275797110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 BEACH ST",
            "address_2": "85 BEACH ST.",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912717",
            "telephone_number": "401-596-0328",
            "fax_number": "401-348-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BEACH ST",
            "address_2": "85 BEACH ST.",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912717",
            "telephone_number": "401-596-0328",
            "fax_number": "401-348-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE INTERNAL MEDICINE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "BEAUCHAMP",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-596-0328",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan L Ruzzo, MS CCC-SLP
• Constantinos Dimitris Salemis, O.D.
• Sheila Sandoval, RPH
• Laurie C. Scales
• Jon F Scheiber, M.D.
• Seaside Primary Care
• Susan S Seidler, NP
• Sensible Development, LLC
• Robert Michael Serra, MD
• Ronald J Serra, OD

• Internal Medicine Physician in Westerly, RI
• Providers in Westerly, 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 Jul 10, 2008; 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.