Organization Active NPI

Ocean State Osteopathic Medicine LLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Providence, RI
National Provider Identifier
1467873307
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
DO00687 Issued in RI
Legal business name
OCEAN STATE OSTEOPATHIC MEDICINE LLC
Practice address
154 Waterman St Unit 16
Providence, RI 02906-3116
Phone
(401) 372-2949
NPI assigned
Dec 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Authorized official

Name
Dr. Athina Giovanis, D.O.
Title
Physician
Phone
(401) 372-2949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X DO00687 RI Primary

Addresses

Primary practice location

154 Waterman St Unit 16
Providence, RI 02906-3116

Mailing address

154 Waterman St Unit 16
Providence, RI 02906-3116
Phone (401) 372-2949

National Provider Directory

National Provider Directory

Locations

154 Waterman St
Unit 16
Providence, RI 02906
Phone (401) 372-2949

1 Richmond Sq
Ste 111K
Providence, RI 02906
Phone (401) 372-2949

154 Waterman St
#16
Providence, RI 02906
Phone (401) 372-2949

NPI Registry JSON

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1467873307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 WATERMAN ST UNIT 16",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063116",
            "telephone_number": "401-372-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 WATERMAN ST UNIT 16",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063116",
            "telephone_number": "401-372-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN STATE OSTEOPATHIC MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "GIOVANIS",
        "authorized_official_first_name": "ATHINA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "401-372-2949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "RI",
            "license": "DO00687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.

Verify at the official NPI Registry.