Kent Surgical Associates, Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

KENT SURGICAL ASSOCIATES, INC.

Practice address

227 Centerville Rd
Suite 2
Warwick, RI 02886-4394

Phone

(401) 737-4828

Fax

(401) 732-8484

NPI assigned

Sep 20, 2006

Last updated

Feb 24, 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

Bernard St.Jean, MD

Title

President

Phone

(401) 737-4828

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Michael C Coburn, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • North Kingstown, RI
  • NPI 1720040728
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1457459943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 CENTERVILLE RD",
            "address_2": "SUITE 2",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864394",
            "telephone_number": "401-737-4828",
            "fax_number": "401-732-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 CENTERVILLE RD",
            "address_2": "SUITE 2",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864394",
            "telephone_number": "401-737-4828",
            "fax_number": "401-732-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT SURGICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "ST.JEAN",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-737-4828",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "KS00507",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BLUE SHIELD",
            "identifier": "838-7",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kent Hospital
• Kent Ophthalmology, Inc.
• Kent Pulmonary Asthma and Sleep Medicine LLC
• Kent Regency Center Opco, LLC
• Kent Rheumatologists, Inc.
• Kent Urology, Inc.
• Sara E Kent, PA-C
• Doreen Marie Kenworthy, PTA
• Steven M Kenyon, DMD
• Danielle Keough, PTA

• Surgery Physician in Warwick, RI
• Providers in Warwick, RI by specialty
• Surgery Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.