Active NPI
Landmark Physician Associates
- Orthopaedic Surgery Physician
- Woonsocket, RI
National Provider Identifier
1316347644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- LANDMARK PHYSICIAN ASSOCIATES
- Practice address
- 219 Cass Ave
Woonsocket, RI 02895-4736 - Phone
- (401) 769-4100
- Fax
- (401) 766-9575
- NPI assigned
- Aug 22, 2014
- Organization subpart
- Yes
- Parent organization
- PRIME HEALTHCARE SERVICES LANDMARK LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard Charest
- Title
- Ceo
- Phone
- (401) 769-4100
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Hematology & Oncology Physician | 207RH0003X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Pediatrics Physician | 208000000X | |||
| Surgery Physician | 208600000X |
Addresses
Primary practice location
219 Cass Ave
Woonsocket, RI 02895-4736
Mailing address
219 Cass Ave
Woonsocket, RI 02895-4736
Phone (401) 769-4100
National Provider Directory
National Provider Directory- Part of
- Prime Healthcare Services - Landmark LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408665600000",
"number": "1316347644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 CASS AVE",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028954736",
"telephone_number": "401-769-4100",
"fax_number": "401-766-9575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 CASS AVE",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028954736",
"telephone_number": "401-769-4100",
"fax_number": "401-766-9575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANDMARK PHYSICIAN ASSOCIATES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PRIME HEALTHCARE SERVICES LANDMARK LLC",
"enumeration_date": "2014-08-22",
"last_updated": "2014-08-22",
"status": "A",
"authorized_official_last_name": "CHAREST",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "401-769-4100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woonsocket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.