NPIMap

Organization Active NPI

Edward J McDonald

  • Durable Medical Equipment & Medical Supplies
  • Warwick, RI
National Provider Identifier
1497781827
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
RO00104 Issued in RI
Legal business name
EDWARD J MCDONALD
Practice address
3466 W Shore Rd
Warwick, RI 02886-5035
Phone
(401) 738-6277
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Mr. Edward J McDonald, R.O.NPI 1376706937
Title
Optician
Phone
(401) 738-6277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X RO00104 RI Primary

Addresses

Primary practice location

3466 W Shore Rd
Warwick, RI 02886-5035

Mailing address

3466 W Shore Rd
Warwick, RI 02886-5035
Phone (401) 738-6277

Other identifiers 5

IdentifierTypeStateIssuer
2873-1OtherRIBLUE CROSS
29660OtherRINEIGHBORHOOD HEALTH
207247OtherRIBLUE CHIP
2109056OtherRIUNITED HEALTH
8678001MedicaidRI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1497781827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3466 W SHORE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028865035",
            "telephone_number": "401-738-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 W SHORE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028865035",
            "telephone_number": "401-738-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J MCDONALD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "401-738-6277",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "RI",
            "license": "RO00104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2873-1",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "29660",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "207247",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "2109056",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8678001",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.