Organization Active NPI

George a Southiere Jr MD, PC

  • Addiction Medicine (Family Medicine) Physician
  • Greenville, RI
National Provider Identifier
1578864187
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
MD09907 Issued in RI
Legal business name
GEORGE A SOUTHIERE JR MD, PC
Practice address
600 Putnam Pike
Suite 7
Greenville, RI 02828-1486
Phone
(401) 258-4535
NPI assigned
Nov 12, 2010
Last updated
Nov 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Dr. George Armand Southiere Jr., MD
Title
Owner
Phone
(401) 258-4535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0401X MD09907 RI Primary

Addresses

Primary practice location

600 Putnam Pike
Suite 7
Greenville, RI 02828-1486

Mailing address

600 Putnam Pike
Suite 7
Greenville, RI 02828-1486
Phone (401) 258-4535

National Provider Directory

National Provider Directory

Locations

17 Ashton Pkwy
Ste 202
Cumberland, RI 02864
Phone (401) 234-4829

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1578864187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PUTNAM PIKE",
            "address_2": "SUITE 7",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028281486",
            "telephone_number": "401-258-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PUTNAM PIKE",
            "address_2": "SUITE 7",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028281486",
            "telephone_number": "401-258-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE A SOUTHIERE JR MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "SOUTHIERE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ARMAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-258-4535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "RI",
            "license": "MD09907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.