Theodore C. Palumbo, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

8962 Issued in RI

Practice address

33 Staniford St
Providence, RI 02905-3105

Phone

(401) 421-8800

Fax

(401) 273-6510

NPI assigned

Nov 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Theodore C. Palumbo, MD, Inc.

  • Gastroenterology Physician
  • Providence, RI
  • NPI 1003987348
  NPD (past) Authorized official
• William Chen, MD, LLC

  • Gastroenterology Physician
  • Providence, RI
  • NPI 1366537425
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1578634812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 STANIFORD ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053105",
            "telephone_number": "401-421-8800",
            "fax_number": "401-273-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 STANIFORD ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053105",
            "telephone_number": "401-421-8800",
            "fax_number": "401-273-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUMBO",
        "first_name": "THEODORE",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "RI",
            "license": "8962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley M. Palrao, RN, CDOE
• Sharyn Palumbo-Goldstein, RPT
• Marie Palumbo-Hayes, LICSW
• Alyssa Palumbo, RN
• Kevin S. Palumbo, MD
• Alan Pan, DMD
• Kelly Pan
• Sophia Panaccione
• Sara Panahi, PHARMD
• Stephen V Panaro, MD

• Gastroenterology Physician in Providence, RI
• Providers in Providence, RI by specialty
• Gastroenterology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.