Organization Active NPI

Ri Plastic Surgery Operatory

  • Ambulatory Surgical Clinic/Center
  • Providence, RI
National Provider Identifier
1609110188
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0000000000 Issued in RI
Legal business name
RI PLASTIC SURGERY OPERATORY
Practice address
10 Bridge St
Providence, RI 02903-4362
Phone
(401) 453-0120
Fax
(401) 453-0198
NPI assigned
Nov 21, 2012
Last updated
Nov 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Authorized official

Name
Ms. Kathleen Glassie
Title
Manager
Phone
(401) 855-0605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0000000000 RI Primary

Addresses

Primary practice location

10 Bridge St
Providence, RI 02903-4362

Mailing address

10 Bridge Street
Providence, RI 02903
Phone (401) 453-0120

National Provider Directory

National Provider Directory
Tax ID family
LTC Solutions119 organizations share this tax ID, including this one

NPI Registry JSON

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1609110188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BRIDGE STREET",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02903",
            "telephone_number": "401-453-0120",
            "fax_number": "401-453-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BRIDGE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034362",
            "telephone_number": "401-453-0120",
            "fax_number": "401-453-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RI PLASTIC SURGERY OPERATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "GLASSIE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "401-855-0605",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "RI",
            "license": "0000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 21, 2012; 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.