Active NPI
US Care Inc
- Pain Medicine Physician
- Providence, RI
National Provider Identifier
1609053347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- MD10308
- Legal business name
- US CARE INC
- Practice address
- 955 Chalkstone Ave
Providence, RI 02908-4220 - Phone
- (401) 228-7585
- Fax
- (401) 228-7588
- NPI assigned
- Jan 24, 2008
- 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
- Hafeez Khan, MD
- Title
- Physician Owner
- Phone
- (401) 228-7585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | MD10308 | RI | Primary |
Addresses
Primary practice location
955 Chalkstone Ave
Providence, RI 02908-4220
Mailing address
955 Chalkstone Ave
Providence, RI 02908-4220
Phone (401) 228-7585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HK96917 | Medicaid | RI |
National Provider Directory
National Provider DirectoryLocations
955 Chalkstone Ave
Providence, RI 02908
Phone (401) 228-7585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216944000000",
"number": "1609053347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 CHALKSTONE AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029084220",
"telephone_number": "401-228-7585",
"fax_number": "401-228-7588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 CHALKSTONE AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029084220",
"telephone_number": "401-228-7585",
"fax_number": "401-228-7588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "US CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-24",
"last_updated": "2008-07-25",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "HAFEEZ",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "401-228-7585",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "RI",
"license": "MD10308",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HK96917",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.