NPIMap

Organization Active NPI

Cranston East Medical Clinic

  • Adult Medicine Physician
  • Cranston, RI
National Provider Identifier
1396977823
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
6631 Issued in RI
Legal business name
CRANSTON EAST MEDICAL CLINIC
Practice address
934 Park Ave
Cranston, RI 02910-2708
Phone
(401) 941-3166
Fax
(401) 941-3122
NPI assigned
Aug 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

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

Authorized official

Name
Dr. William C Chang, MDNPI 1700807567
Title
Medical Director
Phone
(401) 941-3166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X 6631 RI Primary

Addresses

Primary practice location

934 Park Ave
Cranston, RI 02910-2708

Mailing address

934 Park Ave
Cranston, RI 02910-2708
Phone (401) 941-3166

National Provider Directory

National Provider Directory

Locations

934 Park Ave
Cranston, RI 02910
Phone (401) 941-3166

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1396977823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 PARK AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029102708",
            "telephone_number": "401-941-3166",
            "fax_number": "401-941-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 PARK AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029102708",
            "telephone_number": "401-941-3166",
            "fax_number": "401-941-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANSTON EAST MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "401-941-3166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "RI",
            "license": "6631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.