Individual provider Active NPI

Dugald H Munro, MD

  • Ophthalmology Physician
  • East Providence, RI
National Provider Identifier
1487614251
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD03705 Issued in RI
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

Updated by the provider on May 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
15263RIHOtherHARVARD PILGRIM HEALTH CARE
003705OtherTUFTS HEALTH PLAN
001588OtherRIBLUE CROSS BLUE SHIELD OF RI-BLUECHIP
185OtherRIBLUE CROSS BLUE SHIELD OF RHODE ISLAND
0000ZB6419OtherMABLUE CROSS BLUE SHIELD OF MASSACHUSETTS
08-00104OtherRIUNITED HEALTHCARE OF NEW ENGLAND
9000185MedicaidRI
P00470561OtherRIRAILROAD 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.

Verify at the official NPI Registry.