Susan Elizabeth Taft, M.D.
Individual provider Active NPI Family Medicine Physician · North Kingstown, RI
NPI 1376535757 · NPPES record last updated Aug 3, 2010
Key facts
- NPI
- 1376535757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 7292 (RI)
- Practice address
- 308 Callahan Rd
North Kingstown, RI 02852-7739 - Phone
- (401) 295-9706
- Fax
- (401) 295-0920
- NPI assigned
- Aug 22, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7292 | RI | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 7292 | RI | Yes |
Addresses
Primary practice location
308 Callahan Rd
North Kingstown, RI 02852-7739
Mailing address
41 Coddington Way
Wakefield, RI 02879-6341
Phone (401) 789-9911
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7292 | Other | RI | LICENSE NUMBER |
Other providers in North Kingstown, RI
- Lora Struzik
- Sue Kelly Dermatology, LLC
- Sunny Smile Group X LLC
- Sunshine Early Child Care Center, Inc
- Alexandra Dipietro Szabo
- Matthew Tanner
- Monique E Tarulli
- Kristen M Taylor
- Scott Robert Tellier
- Tente Physical Therapy, Inc.
All providers in North Kingstown, RI · Family Medicine 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 Aug 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.