Prospect Chartercare RWMC, LLC
Organization Active NPI Cardiovascular Disease Physician · Providence, RI
NPI 1326463548 · NPPES record last updated Jan 11, 2021
Key facts
- NPI
- 1326463548
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- PROSPECT CHARTERCARE RWMC, LLC
- Practice address
- 825 Chalkstone Ave
Providence, RI 02908-4728 - Phone
- (401) 456-2000
- Fax
- (401) 456-2029
- NPI assigned
- Feb 25, 2014
- Organization subpart
- No
Authorized official
- Name
- Robert Jon Elders
- Title
- Secretary
- Phone
- (714) 788-1249
Other NPIs on the same Medicare enrollment 1
Practitioners 198
-
Joanna Abi Chebl, MD
-
Linda A Aguiar, PMHNP-BC
-
Ali A Akhtar, M.D.
-
Ayana Allard-Picou, M.D.
-
Gregory G Allen, D.O.
-
Cynthia M Alves, MD
-
Peter Ameck, NP
-
Kendra Apici, LICSW
-
Rachel Armada, LICSW
-
Shera Baker, LICSW
-
Emma Joy Banks, PA-C
-
Rajnish Bansal, MD
-
Michael A Battey, DPM
-
Nebyou Belay, MD
-
Leah Anne Berg, LICSW
-
Allison L Bernier, LICSW
-
Travis Blood, M.D.
-
Kate Bowen Young, LMHC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140728001672 | RI | Part B Supplier - Clinic/Group Practice | 0547492696 |
Receives reassigned benefits from 182 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Warren, RI; E Providence, RI; Wakefield, RI; Providence, RI; North Providence, RI; Lincoln, RI; Johnston, RI; Greenville, RI… |
National Provider Directory
Locations
1539 Atwood Ave
Johnston, RI 02919
Phone (401) 272-3410
2 Atlantic Blvd
North Providence, RI 02911
Phone (401) 231-0450
Interoperability endpoints
- riacobucci@direct.chartercare.org
- rafael.liporaci@direct.chartercare.org
- keya.malhotra@direct.chartercare.org
- jbonadona@direct.chartercare.org
- leanne.nadeau@direct.chartercare.org
- psampath@direct.chartercare.org
- andrea.demers@direct.chartercare.org
- shahzad.khurshid@direct.chartercare.org
- rbrown@direct.chartercare.org
- vincent.perrelli@direct.chartercare.org
- diane.dubois_hall@direct.chartercare.org
- kristine.mortel@direct.chartercare.org
- peter.ameck@direct.chartercare.org
- anna.bunch@direct.chartercare.org
- ralph.santoro@direct.chartercare.org
- jeffrey.drogin@direct.chartercare.org
- maria.soriano@direct.chartercare.org
- neenoofar.haneef@direct.chartercare.org
- egrote@direct.chartercare.org
- jstoukid@direct.chartercare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist |
133N00000X | |||
| Cardiovascular Disease Physician |
207RC0000X | Yes |
Addresses
Primary practice location
825 Chalkstone Ave
Providence, RI 02908-4728
Mailing address
825 Chalkstone Ave
Providence, RI 02908-4728
Phone (401) 456-2000
Other names
- Roger Williams Medical Center
Other providers in Providence, RI
- Prospect Chartercare Elmhurst, LLC
- Prospect Chartercare Home Health and Hospice, LLC
- Prospect Chartercare Physicians LLC
- Prospect Chartercare RWMC, LLC
- Prospect Chartercare RWMC, LLC
- Prospect Chartercare RWMC, LLC
- Prospect Chartercare RWMC, LLC
- Prospect Chartercare RWMC, LLC
- Prospect Chartercare Sjhsri, LLC
- Anne Prosser
All providers in Providence, RI · Cardiovascular Disease Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.