Michael Economos, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD9195 Issued in RI

Practice address

215 Tollgate Road
Suite 106
Warwick, RI 02886-4326

Phone

(401) 732-5600

Fax

(401) 734-9400

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  RI

  Medicare reassignment NPD
• Awcri Medical Group, Inc.

  • Obstetrics & Gynecology Physician
  • Pawtucket, RI
  • NPI 1609945252

  Obstetrics & Gynecology

  NPD (past)
• J. Gerald Smith, MD

  • Gynecology Physician
  • Warwick, RI
  • NPI 1326147430
  NPD (past)
• Tollgate Obstetrics and Gynecology Midwifery Services Inc

  • Midwife
  • Warwick, RI
  • NPI 1528403847
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 10, 2011.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1285644096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 TOLL GATE RD",
            "address_2": "SUITE 106",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864458",
            "telephone_number": "401-732-5600",
            "fax_number": "401-734-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 TOLLGATE ROAD",
            "address_2": "SUITE 106",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864326",
            "telephone_number": "401-732-5600",
            "fax_number": "401-734-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECONOMOS",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "RI",
            "license": "MD9195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9025255",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Timothy Eagan, DDS, MPH
• Saikiran Earasi, D.O
• Wayland A Easley, DDS
• Majied H Eason
• Eckerd Corporation
• Eden Hospice LLC
• Edward J McDonald
• Edward V. Reardon, DO LTD
• Courtney Ann Edwards
• Jacqueline Edwards

• All providers in Warwick, RI
• Obstetrics & Gynecology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.