Active NPI
Uoi East Bay Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- East Providence, RI
National Provider Identifier
1598419509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- UOI EAST BAY SURGERY CENTER LLC
- Practice address
- 1 Kettle Point Ave Ste 200
East Providence, RI 02914-5375 - Phone
- (401) 443-4230
- NPI assigned
- Feb 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Weber Shill, MBA
- Title
- Chief Executive Officer
- Phone
- (401) 457-1504
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1 Kettle Point Ave Ste 200
East Providence, RI 02914-5375
Mailing address
PO Box 1119
Providence, RI 02901-1119
Phone (401) 443-4150
Other names 1
- UOI East Bay Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230125000172 | RI | Part B Supplier - Ambulatory Surgical Center | 0345611646 | Practice locations: East Providence, RI |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Orthopaedic Surgery Physician
- North Providence, RI
- NPI 1427521830
Member Of
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Hand Surgery Physician
- Providence, RI
- NPI 1588644629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644278400000",
"number": "1598419509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1119",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029011119",
"telephone_number": "401-443-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KETTLE POINT AVE STE 200",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029145375",
"telephone_number": "401-443-4230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UOI EAST BAY SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-08",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A",
"authorized_official_last_name": "SHILL",
"authorized_official_first_name": "WEBER",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "401-457-1504",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "UOI East Bay Surgery Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.