Active NPI
Dugald H Munro, MD
- Ophthalmology Physician
- East Providence, RI
National Provider Identifier
1487614251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD03705
- Practice address
- 1525 Wamponoag TRL
Ste 105
East Providence, RI 02915 - Phone
- (401) 437-0500
- Fax
- (401) 433-3581
- NPI assigned
- Mar 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD03705 | RI | Primary |
| Ophthalmology Physician | 207W00000X | 219972 | MA |
Addresses
Primary practice location
1525 Wamponoag TRL
Ste 105
East Providence, RI 02915
Mailing address
150 E Manning St
Providence, RI 02906-5109
Phone (401) 272-2020
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15263RIH | Other | HARVARD PILGRIM HEALTH CARE | |
| 003705 | Other | TUFTS HEALTH PLAN | |
| 001588 | Other | RI | BLUE CROSS BLUE SHIELD OF RI-BLUECHIP |
| 185 | Other | RI | BLUE CROSS BLUE SHIELD OF RHODE ISLAND |
| 0000ZB6419 | Other | MA | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS |
| 08-00104 | Other | RI | UNITED HEALTHCARE OF NEW ENGLAND |
| 9000185 | Medicaid | RI | |
| P00470561 | Other | RI | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336003200000",
"number": "1487614251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 E MANNING ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065109",
"telephone_number": "401-272-2020",
"fax_number": "401-421-5979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 WAMPONOAG TRL",
"address_2": "STE 105",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "02915",
"telephone_number": "401-437-0500",
"fax_number": "401-433-3581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNRO",
"first_name": "DUGALD",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-25",
"last_updated": "2012-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "RI",
"license": "MD03705",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "219972",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CARE",
"identifier": "15263RIH",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "003705",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF RI-BLUECHIP",
"identifier": "001588",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF RHODE ISLAND",
"identifier": "185",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MASSACHUSETTS",
"identifier": "0000ZB6419",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE OF NEW ENGLAND",
"identifier": "08-00104",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000185",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00470561",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.