NPIMap

Organization Active NPI

The Miriam Hospital

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Providence, RI
National Provider Identifier
1477700243
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
THE MIRIAM HOSPITAL
Practice address
164 Summit Ave
Providence, RI 02906-2853
Phone
(401) 793-4569
Fax
(401) 793-4008
NPI assigned
Aug 25, 2008
Organization subpart
Yes
Parent organization
THE MIRIAM HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Eva Greenwood
Title
SVP, Finance
Phone
(401) 444-7914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X RI Primary

Addresses

Primary practice location

164 Summit Ave
Providence, RI 02906-2853

Mailing address

15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 453-9625

Other names 1

  • The Miriam Hospital Cardiovascular Surgery Division Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Doctors Group13 organizations share this tax ID, including this one
Part of
Family Doctors Group

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1477700243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LA SALLE SQ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029031814",
            "telephone_number": "401-453-9625",
            "fax_number": "401-435-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 SUMMIT AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062853",
            "telephone_number": "401-793-4569",
            "fax_number": "401-793-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MIRIAM HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MIRIAM HOSPITAL",
        "enumeration_date": "2008-08-25",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "GREENWOOD",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "SVP, FINANCE",
        "authorized_official_telephone_number": "401-444-7914"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Miriam Hospital Cardiovascular Surgery Division",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Miriam Hospital Cardiovascular Surgery Division",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 11, 2025; 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.