Active NPI
Philip H Stockwell, MD
- Advanced Heart Failure and Transplant Cardiology Physician
- East Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Heart Failure and Transplant Cardiology Physician
- License
- MD10603
- Practice address
- 950 Warren Ave
2ND Floor
East Providence, RI 02914-1432 - Phone
- (401) 606-1004
- Fax
- (401) 606-1153
- NPI assigned
- Jul 18, 2006
- Last updated
- Oct 19, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD10603 | RI | |
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | MD10603 | RI | Primary |
Addresses
Primary practice location
950 Warren Ave
2ND Floor
East Providence, RI 02914-1432
Mailing address
117 Ellenfield St
Suite 101
Providence, RI 02905-4513
Phone (401) 444-4318
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9003694 | Medicaid | RI |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Advanced Heart Failure and Transplant Cardiology
- Education
- University of Rochester School of Medicine and Dentistry, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1454 S County TRL
Suite 2000
East Greenwich, RI 02818-1750
Phone (401) 606-1100
164 Summit Ave
Providence, RI 02906-2853
185 A High Service Ave
North Providence, RI 02904-5114
Phone (401) 354-6050
185 High Service Ave
North Providence, RI 02904-5114
Phone (401) 354-6050
208 Collyer St
Suite 100
Providence, RI 02904-1560
Phone (401) 793-7191
25 S County Commons Way
Suite 2
Wakefield, RI 02879-8271
Phone (401) 606-1004
593 Eddy St
Providence, RI 02903-4923
593 Eddy St Apc
Suite 6
Providence, RI 02903-4923
Phone (401) 793-9172
593 Eddy St George BLDG 1St Floor
Providence, RI 02903-4923
Phone (401) 793-9166
900 Warren Ave
East Providence, RI 02914-1430
950 Warren Ave
FL 2
East Providence, RI 02914-1432
Phone (401) 606-1004
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD10603 | RI | MD | Advanced Heart Failure and Transplant Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| The Miriam Hospital | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| The Miriam Hospital | Current | Accepting new patients | |
| Lifespan Corporation | Current | Accepting new patients | |
| The Miriam Hospital | Current | Accepting new patients | |
| The Miriam Hospital | Cardiovascular Disease | Current | Accepting new patients |
| The Miriam Hospital | Internal Medicine | Past | Accepting new patients |
| Lifespan Physician Group, Inc. | Past | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients | |
| Masonicare Primary Care Physicians | Past | Accepting new patients | |
| Masonicare Behavioral Health, LLC | Past | Accepting new patients |
Locations
1377 S County Trl
East Greenwich, RI 02818
Phone (401) 886-7590
1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000
950 Warren Ave
Fl 2
East Providence, RI 02914
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
2 Dudley St
Ste 360
Providence, RI 02905
Phone (401) 274-7546
208 Collyer St
Ste 100
Providence, RI 02904
Phone (401) 793-7191
593 Eddy St
Providence, RI 02903
593 Eddy St
Bldg 1ST
Providence, RI 02903
Phone (401) 444-5803
Interoperability endpoints
- pstockwell7110@brownhealth.medalliesdirect.net
Organizations & group practices 13
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.
-
dba Brown Health Medical Group
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- Cardiovascular Disease Physician
- Providence, RI
- NPI 1851677470
-
- Advanced Heart Failure and Transplant Cardiology Physician
- Providence, RI
- NPI 1962844795
-
- Children's Rehabilitation Hospital
- Providence, RI
- NPI 1790221232
-
dba Brown Health Medical Group
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- Cardiac Rehabilitation Clinic/Center
- East Greenwich, RI
- NPI 1518482389
-
- General Acute Care Hospital
- Providence, RI
- NPI 1770520462
-
dba The Men's Health Center
- Adult Medicine Physician
- Providence, RI
- NPI 1831362813
-
dba Brown Health Medical Group
- Psychiatry Physician
- Providence, RI
- NPI 1548506793
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- Geriatric Psychiatry Physician
- Wallingford, CT
- NPI 1992781488
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Providence, RI
- NPI 1871674796
-
- General Acute Care Hospital
- Newport, RI
- NPI 1457346413
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
-
dba Tobey Hospital
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
-
- General Acute Care Hospital
- Attleboro, MA
- NPI 1730106162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1689692592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 ELLENFIELD ST",
"address_2": "SUITE 101",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054513",
"telephone_number": "401-444-4318",
"fax_number": "401-444-6573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 WARREN AVE",
"address_2": "2ND FLOOR",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029141432",
"telephone_number": "401-606-1004",
"fax_number": "401-606-1153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKWELL",
"first_name": "PHILIP",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD10603",
"primary": false
},
{
"code": "207RA0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
"state": "RI",
"license": "MD10603",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9003694",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.