St. Joseph Hospital Cardiology Foundation

Primary specialty

Cardiology TechnicianTaxonomy code 246W00000X

License

MD05244 Issued in RI

Legal business name

ST. JOSEPH HOSPITAL CARDIOLOGY FOUNDATION

Practice address

200 High Service Ave
Marian Hall
North Providence, RI 02904-5113

Phone

(401) 456-3456

Fax

(401) 456-3773

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David J Fortunato, M.D.

Title

Medical Director

Phone

(401) 273-1350

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760565824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HIGH SERVICE AVE",
            "address_2": "MARIAN HALL",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029045113",
            "telephone_number": "401-456-3456",
            "fax_number": "401-456-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGH SERVICE AVE",
            "address_2": "MARIAN HALL",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029045113",
            "telephone_number": "401-456-3456",
            "fax_number": "401-456-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH HOSPITAL CARDIOLOGY FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORTUNATO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "401-273-1350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "246W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Cardiology",
            "state": "RI",
            "license": "MD05244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000123",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Joseph Health Services of Ri
• St. Joseph Health Services of Ri
• St. Joseph Health Services of Ri
• St. Joseph Health Services of Ri
• St. Joseph Health Services of Ri
• St. Mary'S Home for Children
• St. Mary'S Home for Children
• St. Mary'S Home for Children
• Shayla Stanley
• Lawrence Patrick Stephenson, D.D.S.

• Cardiology Technician in North Providence, RI
• Providers in North Providence, RI by specialty
• Cardiology Technician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.