Organization Active NPI

South County Pediatric Group, Inc.

  • Pediatrics Physician
  • Wakefield, RI
National Provider Identifier
1417033986
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SOUTH COUNTY PEDIATRIC GROUP, INC.
Practice address
4979 Tower Hill Rd
Wakefield, RI 02879-2283
Phone
(401) 789-6492
Fax
(401) 789-5524
NPI assigned
Oct 27, 2006
Last updated
Oct 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Authorized official

Name
David J. Chronley, M.D.NPI 1063597151
Title
President
Phone
(401) 789-6492

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
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

4979 Tower Hill Rd
Wakefield, RI 02879-2283

Mailing address

4979 Tower Hill Rd
Wakefield, RI 02879-2283
Phone (401) 789-6492

National Provider Directory

National Provider Directory

Locations

4979 Tower Hill Rd
Wakefield, RI 02879
Phone (401) 789-6492

Practitioners & affiliated clinicians

Practitioners 2

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": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1417033986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4979 TOWER HILL RD",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028792283",
            "telephone_number": "401-789-6492",
            "fax_number": "401-789-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4979 TOWER HILL RD",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028792283",
            "telephone_number": "401-789-6492",
            "fax_number": "401-789-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY PEDIATRIC GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "CHRONLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-789-6492",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "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 1, 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.