Providence Surgical Care Group, Incorporated

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

PROVIDENCE SURGICAL CARE GROUP, INCORPORATED

Practice address

486 Silver Spring St
Providence, RI 02904-1556

Phone

(401) 454-0690

Fax

(401) 454-4281

NPI assigned

Oct 23, 2006

Last updated

Dec 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert B Patterson, MDNPI 1124101258

Title

President

Phone

(401) 454-0690

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Robert B Patterson, MD

  • Vascular Surgery Physician
  • Providence, RI
  • NPI 1124101258
  Authorized official Same address or phone
• Albert K Weyman, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Providence, RI
  • NPI 1982789483
  NPD (past)
• Siamak Barkhordarian, M.D.

  • Vascular Surgery Physician
  • Los Angeles, CA
  • NPI 1760564702
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1437232543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 SILVER SPRING ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041556",
            "telephone_number": "401-454-0690",
            "fax_number": "401-454-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 SILVER SPRING ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041556",
            "telephone_number": "401-454-0690",
            "fax_number": "401-454-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE SURGICAL CARE GROUP, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-454-0690",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PS32025",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Providence Prep Charter School
• Providence Preparatory Charter School
• Providence Psychology Services, LLC
• Providence Psychotherapy Clinic Inc
• Providence Refractive, L.L.C. (TLC Laser Eye Centers Providence)
• Providence Urology, LLC
• Providence VA Medical Center (Southeastern Psychiatric Associates)
• Providence VA Medical Center
• Providence VA Medical Center
• Providence Vamc

• Vascular Surgery Physician in Providence, RI
• Providers in Providence, RI by specialty
• Vascular Surgery Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.