Harold J Wanebo MD LLC

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

MD07200 Issued in RI

Legal business name

HAROLD J WANEBO MD LLC

Practice address

1165 N Main St
2ND Floor
Providence, RI 02904-5740

Phone

(401) 529-2828

Fax

(401) 943-1958

NPI assigned

Apr 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Harold J Wanebo, MD

Title

Owner

Phone

(401) 529-2828

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1740609981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 N MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045740",
            "telephone_number": "401-529-2828",
            "fax_number": "401-943-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 N MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045740",
            "telephone_number": "401-529-2828",
            "fax_number": "401-943-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD J WANEBO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "WANEBO",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-529-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "RI",
            "license": "MD07200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9006428",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Hargis
• Emma Hargreaves
• Livia Harkow
• Alexander J Harmatz, M.D.
• Amy Cathryn Harmon, CCC-SLP
• Thomas J Haronian, MD
• Ashley Harpin
• Adam Harrington
• Colin James Harrington, MD
• Courtney Harrington, APRN-CNP

• Surgical Oncology Physician in Providence, RI
• Providers in Providence, RI by specialty
• Surgical Oncology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.