Provident Pain and Wellness Clinic

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

10503 Issued in RI

Legal business name

PROVIDENT PAIN AND WELLNESS CLINIC

Practice address

19 Friendship St
Suite 160
Newport, RI 02840-2200

Phone

(401) 499-7771

NPI assigned

Oct 8, 2009

Organization subpart

No

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

Authorized official

Name

Raul A Masing, MD

Title

Owner

Phone

(401) 499-7771

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Del Rosario, PT

  • Physical Therapist
  • Newport, RI
  • NPI 1225364284
  NPD (past)

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1639404635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 NEWMAN AVE",
            "address_2": "SUITE 100",
            "city": "RUMFORD",
            "state": "RI",
            "postal_code": "029163603",
            "telephone_number": "401-453-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 FRIENDSHIP ST",
            "address_2": "SUITE 160",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402200",
            "telephone_number": "401-499-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENT PAIN AND WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "MASING",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-499-7771",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "RI",
            "license": "10503",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "RI",
            "license": "10503",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT01902",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Pinto, MD
• Stephan P Pirnie, M.D.
• Robert Bruce Power, ED.D.
• Colleen Powers, MSW, LICSW
• Leigh Burleson Price, PA-C
• Amy Marjory Putnam, NP
• Leah Quackenbush, RN
• Quest Diagnostics Incorporated
• Alexandra Quick, DPT
• Radiant Esthetics LLC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Newport, RI
• Providers in Newport, RI by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.