Marcia Robitaille, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD10649 Issued in RI

Practice address

111 Brewster St
Department of Emergency Medicine
Pawtucket, RI 02860-4400

Phone

(401) 729-2191

Fax

(401) 729-2517

NPI assigned

Dec 5, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1295719029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BREWSTER ST",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604400",
            "telephone_number": "401-729-2191",
            "fax_number": "401-729-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BREWSTER ST",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604400",
            "telephone_number": "401-729-2191",
            "fax_number": "401-729-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBITAILLE",
        "first_name": "MARCIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "RI",
            "license": "MD10649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MR74507",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "007061071",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmie Lou Roberts, PA-C
• Julie A Roberts
• Lynn Ann Robin, RDH
• Derrick M Robinson, PHYSICIAN ASSISTANT
• Kaitlyn Robinson
• Miguel Ariel Roca, DMD
• Kristeen Elizabeth Rocha, LICSW
• Erin Nole Rock, MS
• Jeremy Tyler Rockwell, DNP
• Christa Rodenas, DDS

• Emergency Medicine Physician in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Emergency Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.

Verify at the official NPI Registry.