Organization Active NPI

Thomas R. Walek, M.D., Inc.

  • Plastic Surgery Physician
  • Warwick, RI
National Provider Identifier
1285080945
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD05762 Issued in RI
Legal business name
THOMAS R. WALEK, M.D., INC.
Practice address
200 Toll Gate Rd
Suite 102
Warwick, RI 02886-4491
Phone
(401) 738-7659
Fax
(401) 738-6425
NPI assigned
May 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Authorized official

Name
Mrs. Karen Marie Rodrigues
Title
Office Manager
Phone
(401) 738-7659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X MD05762 RI Primary

Addresses

Primary practice location

200 Toll Gate Rd
Suite 102
Warwick, RI 02886-4491

Mailing address

200 Toll Gate Rd
Suite 102
Warwick, RI 02886-4491
Phone (401) 738-7659

National Provider Directory

National Provider Directory

Locations

200 Toll Gate Rd
Ste 102
Warwick, RI 02886
Phone (401) 737-9363

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1285080945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TOLL GATE RD",
            "address_2": "SUITE 102",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864491",
            "telephone_number": "401-738-7659",
            "fax_number": "401-738-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TOLL GATE RD",
            "address_2": "SUITE 102",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864491",
            "telephone_number": "401-738-7659",
            "fax_number": "401-738-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS R. WALEK, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "RODRIGUES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "401-738-7659",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "RI",
            "license": "MD05762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.