Blackstone Valley Surgicare Acquisition LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BLACKSTONE VALLEY SURGICARE ACQUISITION LP

Practice address

1526 Atwood Ave
Suite 300
Johnston, RI 02919-3289

Phone

(401) 459-3800

NPI assigned

Apr 23, 2006

Organization subpart

No

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

Authorized official

Name

Richard L Sharff Jr.

Title

VP/Secretary

Phone

(205) 545-2572

Specialties & licenses 1

Addresses

Other names 1

• BLACKSTONE VALLEY SURGICARE, INC. Former legal business name

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Peter C Brasch MD LLC

  • Ophthalmology Physician
  • Smithfield, RI
  • NPI 1942478060

  O20080613000472

  Same enrollment

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

{
    "created_epoch": "1145750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1528024171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 ATWOOD AVE",
            "address_2": "SUITE 300",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 ATWOOD AVE",
            "address_2": "SUITE 300",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193289",
            "telephone_number": "401-459-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKSTONE VALLEY SURGICARE ACQUISITION LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-23",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "SHARFF",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP/SECRETARY",
        "authorized_official_telephone_number": "205-545-2572",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLACKSTONE VALLEY SURGICARE, INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Birth Awakenings LLC
• Michael Bisconti
• Alexis Bissonnette, DPT
• BJ'S Wholesale Club Inc.
• Akia D Blackmon, DMD
• Sherri A Blennerhassett, OD
• Carolyn Blessing, MASTERS
• Theodore William Blickwedel II, MSW, LICSW
• Blue Feather Communication Collaborative LLC
• Gabriella Blumenstock

• All providers in Johnston, RI
• Ambulatory Surgical Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.