Gary G King, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0339 Issued in RI

Practice address

600 Putnam Pike
Suite 1
Greenville, RI 02828

Phone

(401) 949-5552

Fax

(401) 949-5556

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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

• Prospect Chartercare Physicians, LLC

  dba CharterCARE Medical Associates

  • Internal Medicine Physician
  • Cranston, RI
  • NPI 1629493135

  Family Medicine

  Medicare reassignment NPD
• Gary King DO

  • Family Medicine Physician
  • Greenville, RI
  • NPI 1710148572
  Authorized official Same address or phone

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1285739813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PUTNAM PIKE",
            "address_2": "SUITE 1",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "02828",
            "telephone_number": "401-949-5552",
            "fax_number": "401-949-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PUTNAM PIKE",
            "address_2": "SUITE 1",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "02828",
            "telephone_number": "401-949-5552",
            "fax_number": "401-949-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "GARY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "D0339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelle Johnston
• Julia Kach
• Amanda Keegan, PT
• Ellen A Kellner, MSSW
• Rayne Kennelly, NPP
• Allison Kinoian, M.A, BCBA, LBA
• Jacob Kleiman, DDS
• Scott B. Klimaj, D.M.D.
• Kayla Lance, OTR/L
• Mark R Langlois

• Family Medicine Physician in Greenville, RI
• Providers in Greenville, RI by specialty
• Family Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.