Ocean State Dermatology, Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD11167 Issued in RI

Legal business name

OCEAN STATE DERMATOLOGY, INC

Doing business as

Ocean State Dermatology

Practice address

300 Jefferson Blvd
Suite #305
Warwick, RI 02888-3888

Phone

(401) 739-7546

Fax

(401) 739-7544

NPI assigned

Jun 25, 2013

Last updated

Nov 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dana P. Hall, M.D.NPI 1245298553

Title

Owner

Phone

(401) 739-7546

Specialties & licenses 1

Addresses

Other names 1

• OCEAN STATE DERMATOLOGY Doing business as

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dana P. Hall, M.D.

  • Dermatology Physician
  • Warwick, RI
  • NPI 1245298553
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1780024687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 JEFFERSON BLVD",
            "address_2": "SUITE #305",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883888",
            "telephone_number": "401-739-7545",
            "fax_number": "401-739-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 JEFFERSON BLVD",
            "address_2": "SUITE #305",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883888",
            "telephone_number": "401-739-7546",
            "fax_number": "401-739-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN STATE DERMATOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-739-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "RI",
            "license": "MD11167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OCEAN STATE DERMATOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Occupational Health Centers of the Southwest PA (Concentra Urgent Care)
• Ocean State Ambulance
• Ocean State Anesthesia Partners, Inc
• Ocean State Behavioral
• Ocean State Center for Independent Living
• Ocean State Eye Care
• Ocean State Home Health Care, Inc.
• Ocean State Neurosurgery, LLC
• Ocean State Physical Therapy, Inc.
• Ocean State Podiatry & Associates, LLC

• Dermatology Physician in Warwick, RI
• Providers in Warwick, RI by specialty
• Dermatology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.