Organization Active NPI

Landmark Physician Office Services

  • Internal Medicine Physician
  • Woonsocket, RI
National Provider Identifier
1396778593
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LANDMARK PHYSICIAN OFFICE SERVICES
Practice address
219 Cass Ave
Woonsocket, RI 02895-4741
Phone
(401) 769-4100
Fax
(401) 766-9575
NPI assigned
Jul 9, 2006
Last updated
May 29, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
LANDMARK MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard R Charest
Title
President & Ceo
Phone
(401) 769-4100

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5623 RI
Internal Medicine Physician 207R00000X NU Primary
Obstetrics & Gynecology Physician 207V00000X NU
Orthopaedic Surgery Physician 207X00000X NU
Surgery Physician 208600000X MD10296 RI
Surgical Oncology Physician 2086X0206X NU

Addresses

Primary practice location

219 Cass Ave
Woonsocket, RI 02895-4741

Mailing address

PO Box 845582
Boston, MA 02284-5582
Phone (401) 769-4100

Other identifiers 1

IdentifierTypeStateIssuer
9005058MedicaidRI

National Provider Directory

National Provider Directory
Part of
Landmark MC Pulm Functi

Locations

620 Washington St
Franklin, MA 02038
Phone (508) 553-9145

600 Putnam Pike
Greenville, RI 02828
Phone (401) 949-3220

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1396778593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845582",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022845582",
            "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": "028954741",
            "telephone_number": "401-769-4100",
            "fax_number": "401-766-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK PHYSICIAN OFFICE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LANDMARK MEDICAL CENTER",
        "enumeration_date": "2006-07-09",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "CHAREST",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "401-769-4100"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "5623",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "RI",
            "license": "MD10296",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005058",
            "state": "RI"
        }
    ],
    "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 May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.