Active NPI
Landmark Physician Office Services
- Internal Medicine Physician
- Woonsocket, RI
National Provider Identifier
1396778593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2013
- Organization subpart
- Yes
- Parent organization
- LANDMARK MEDICAL CENTER
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9005058 | Medicaid | RI |
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.
-
- Orthopaedic Surgery Physician
- Woonsocket, RI
- NPI 1467483552
-
- Orthopaedic Surgery Physician
- Woonsocket, RI
- NPI 1699790121
-
- Hematology & Oncology Physician
- Woonsocket, RI
- NPI 1952332041
-
- Obstetrics & Gynecology Physician
- Greenville, RI
- NPI 1316963176
-
- Psychiatry Physician
- Franklin, MA
- NPI 1932190592
-
- Internal Medicine Physician
- Franklin, MA
- NPI 1588655013
-
- Otolaryngology Physician
- Whittier, CA
- NPI 1538251681
-
- Internal Medicine Physician
- Milford, MA
- NPI 1528023967
-
- Internal Medicine Physician
- Wareham, MA
- NPI 1518953710
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
- Landmark Medical Center (Landmark MC Occupational Health Dept.)
- Landmark Medical Center (Landmark MC Pathology Dept.)
- Landmark Medical Center (LAndmark Health Services)
- Landmark Medical Center (Landmark MC Nuclear Med Dept.)
- Landmark Physician Associates
- Kathryn Landolfi, LCSW
- Eileen P Landry, LICSW
- Erongela Lane
- Laura Langevin, PMHNP
- Sara Langlois
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.