Peter E Baziotis, MD
Individual provider Active NPI Anesthesiology Physician · Pawtucket, RI
NPI 1376536664 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376536664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- MD08592 (RI)
- Practice address
- 111 Brewster St
Anesthesia Department
Pawtucket, RI 02860-4400 - Phone
- (401) 726-7300
- Fax
- (401) 726-7330
- NPI assigned
- Aug 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD08592 | RI | MD | Anesthesiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD08592 | RI | Yes |
Addresses
Primary practice location
111 Brewster St
Anesthesia Department
Pawtucket, RI 02860-4400
Mailing address
200 Main St
Suite 350
Pawtucket, RI 02860-4119
Phone (401) 726-7300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 402881 | Other | RI | BLUECHIP |
| 2378 | Other | RI | NEIGHBORHOOD HEALTH |
| 3201511 | Other | RI | MASSACHUSETTS MEDICAID |
| 7004143 | Medicaid | RI | |
| 2822 | Other | RI | PILGRAM HEALTHCARE |
| 8592 | Other | RI | TUFTS HEALTH PLAN |
Other providers in Pawtucket, RI
- Dayna Bianca Batres
- Benjamin Jared Bauer
- Carol L Baum-Gupta
- Michelle Bliss Bayles
- Jessica Bazar
- Sarah Lynn Beaudet
- Brenda Beauregard
- Tanya Jean Becker
- Ann Bedard
- Begin Again Counseling, LLC
All providers in Pawtucket, RI · Anesthesiology 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 Jul 8, 2007. 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.