Individual provider Active NPI

Mary Catherine Maher, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Warwick, RI
National Provider Identifier
1689191553
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00996 Issued in RI
Practice address
535 Centerville Rd Ste 102
Warwick, RI 02886-4376
Phone
(401) 773-7220
Fax
(401) 773-7221
NPI assigned
Aug 23, 2017
Last updated
Aug 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00996 RI Primary

Addresses

Primary practice location

535 Centerville Rd Ste 102
Warwick, RI 02886-4376

Mailing address

12 Peckham Ave
Newport, RI 02840
Phone (401) 486-2672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171002001870 RI Practitioner - Physician Assistant 2264707207 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00996RIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Hospital CurrentSince Mar 1, 2025 Accepting new patients
University Orthopedics, Inc. CurrentSince Aug 28, 2018 Accepting new patients
Rhode Island Hospital CurrentSince Mar 1, 2025 Accepting new patients
Newport County Medical Treatment Office Past Accepting new patients
Rhode Island Hospital Past Accepting new patients

Locations

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

2 Dudley St
Ste 200
Providence, RI 02905
Phone (401) 444-3581

593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1689191553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PECKHAM AVE",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "02840",
            "telephone_number": "401-486-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 CENTERVILLE RD STE 102",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864376",
            "telephone_number": "401-773-7220",
            "fax_number": "401-773-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "MARY CATHERINE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.