Roger Williams Medical Center

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

HOS00108 Issued in RI

Legal business name

ROGER WILLIAMS MEDICAL CENTER

Practice address

825 Chalkstone Ave
Providence, RI 02908-4728

Phone

(401) 456-2057

Fax

(401) 456-2059

NPI assigned

Apr 23, 2012

Organization subpart

No

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

Authorized official

Name

Kenneth Belcher

Title

President & Ceo

Phone

(401) 456-2525

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ROGER WILLIAMS PULMONARY GROUP Doing business as

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1710244157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CHALKSTONE AVE",
            "address_2": "NORTH CAMPUS BUSINESS OFFICE, ATTN: R SOARES",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084728",
            "telephone_number": "401-456-2525",
            "fax_number": "401-456-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 CHALKSTONE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084728",
            "telephone_number": "401-456-2057",
            "fax_number": "401-456-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER WILLIAMS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "BELCHER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "401-456-2525"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "RI",
            "license": "HOS00108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITAL LICENSE",
            "identifier": "HOS00108",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RO88818",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROGER WILLIAMS PULMONARY GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roger Williams Medical Center
• Roger Williams Medical Center
• Roger Williams Medical Center
• Roger Williams Medical Center
• Roger Williams Medical Center
• Roger Williams Medical Center
• Roger Williams Medical Center
• Roger Williams Radiation Therapy, LLC
• Anette Piscopo Rogers, MS CCC SLP
• Ashly Rogers

• Pulmonary Disease Physician in Providence, RI
• Providers in Providence, RI by specialty
• Pulmonary Disease Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.