VMD Primary Providers of Rhode Island PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VMD PRIMARY PROVIDERS OF RHODE ISLAND PC

Practice address

400 Putnam Pike
Smithfield, RI 02917-2408

Phone

(401) 757-6160

Fax

(401) 349-0840

NPI assigned

Sep 6, 2023

Last updated

Jan 14, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

VMD PRIMARY PROVIDERS OF RHODE ISLAND PCAs reported in NPPES

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

Authorized official

Name

Fonda Shanks

Title

Director Rev Cycle

Phone

(844) 969-0686

Specialties & licenses 1

Addresses

Tax ID family

VMD Primary Providers of Rhode Island PC2 organizations share this tax ID, including this one

Part of

VMD Primary Providers of Rhode Island PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• VMD Primary Providers of Rhode Island PC

  • Family Medicine Physician
  • Cumberland, RI
  • NPI 1548046402
  NPD tax ID

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1649056508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30034",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PUTNAM PIKE",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029172408",
            "telephone_number": "401-757-6160",
            "fax_number": "401-349-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VMD PRIMARY PROVIDERS OF RHODE ISLAND PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VMD PRIMARY PROVIDERS OF RHODE ISLAND PC",
        "enumeration_date": "2023-09-06",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "SHANKS",
        "authorized_official_first_name": "FONDA",
        "authorized_official_title_or_position": "DIRECTOR REV CYCLE",
        "authorized_official_telephone_number": "844-969-0686"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kay Uchmanowicz, CCCA
• Emily Unaka
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• Anne Marie Vanhaaren, PHARMD
• Savannah Vasel, PA-C
• Dayna Voller, RN
• Tara Grace Wallace, LMHC
• Megan Ward, PA-C
• Susan Diane Weinman, MD
• Sherry N. Wilder, LCSW

• Family Medicine Physician in Smithfield, RI
• Providers in Smithfield, RI by specialty
• Family Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.