Siavash Ghoreishi, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD06842 Issued in RI

Practice address

5835 Post Road
Plaza 2 Suite 110
East Greenwich, RI 02818-2154

Phone

(401) 885-3390

Fax

(401) 885-8713

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1508964636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 POST ROAD",
            "address_2": "PLAZA 2 SUITE 110",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028182154",
            "telephone_number": "401-885-3390",
            "fax_number": "401-885-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 POST ROAD",
            "address_2": "PLAZA 2 SUITE 110",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028182154",
            "telephone_number": "401-885-3390",
            "fax_number": "401-885-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOREISHI",
        "first_name": "SIAVASH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD06842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "201159",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "2684",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUTTS",
            "identifier": "406185",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "1200203",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SG00062",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Garfield, DPT
• Laura Elizabeth Gaudette, DNP
• Cheryl A. Geller, RDO
• Generativity LLC
• Gina M. Geremia, PH.D.
• Natalee Lauren Giacondino
• Robert Gianfrocco, DO
• Patricia M Gilmartin, LAC.
• Danielle Anne Giorgi, APRN
• Denise F Glickman, MD

• Pediatrics Physician in East Greenwich, RI
• Providers in East Greenwich, RI by specialty
• Pediatrics Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.