Active NPI
James Russell Carlsten, MD
- Anatomic Pathology & Clinical Pathology Physician
- Wakefield, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 12097
- Practice address
- 70 Kenyon Ave
Wakefield, RI 02879-4239 - Phone
- (401) 782-3803
- NPI assigned
- May 30, 2006
- Last updated
- Oct 29, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 12097 | RI | Primary |
Addresses
Primary practice location
70 Kenyon Ave
Wakefield, RI 02879-4239
Mailing address
180 Shady Hill Dr
East Greenwich, RI 02818-1404
Phone (401) 885-0767
Other practice location 1
360 Kingstown Rd Ste 202
Narragansett, RI 02882-3239
Phone (401) 943-1300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Warren Alpert Medical School of Brown University, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
320 Pomfret St
Putnam, CT 06260-1836
Phone 86092865412452
363 Highland Ave
Fall River, MA 02720-3703
Phone (508) 679-7168
825 Chalkstone Ave
Providence, RI 02908-4728
Phone (401) 456-2109
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12097 | RI | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Pathologists, LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Memorial Hospital | Past | Accepting new patients | |
| University Gastroenterology, LLC | Past | Accepting new patients |
Locations
320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331
1030 President Ave
Ste 213
Fall River, MA 02720
Phone (508) 572-2802
363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
67 Slades Ferry Ave
Ste 6720
Somerset, MA 02726
Phone (401) 921-0252
825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000
300 Centerville Rd
Ste 215
Warwick, RI 02886
Phone (401) 921-0252
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anatomic Pathology Physician
- Providence, RI
- NPI 1568640886
Anatomic Pathology & Clinical Pathology, CT, MA
-
- Gastroenterology Physician
- Providence, RI
- NPI 1386952612
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Our Lady of Fatima Hospital
- General Acute Care Hospital
- North Providence, RI
- NPI 1871918870
-
- General Acute Care Hospital
- Wakefield, RI
- NPI 1952366106
-
dba Tobey Hospital
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1376590794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 SHADY HILL DR",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028181404",
"telephone_number": "401-885-0767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 KENYON AVE",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028794239",
"telephone_number": "401-782-3803"
}
],
"practiceLocations": [
{
"address_1": "360 Kingstown Rd Ste 202",
"address_purpose": "LOCATION",
"city": "Narragansett",
"state": "RI",
"postal_code": "028823239",
"country_code": "US",
"telephone_number": "401-943-1300",
"fax_number": "401-228-7109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARLSTEN",
"first_name": "JAMES",
"middle_name": "RUSSELL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "RI",
"license": "12097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.