Active NPI
Ri Plastic Surgery Operatory
- Ambulatory Surgical Clinic/Center
- Providence, RI
National Provider Identifier
1609110188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 0000000000
- 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, 2012
- 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
- Ms. Kathleen Glassie
- Title
- Manager
- Phone
- (401) 855-0605
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Solutions
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.