David L.Kitzes,MD Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

4216 Issued in RI

Legal business name

DAVID L.KITZES,MD INC

Practice address

1165 N Main St
Suite 200
Providence, RI 02904-5740

Phone

(401) 331-8877

Fax

(401) 331-9649

NPI assigned

Apr 16, 2012

Last updated

Apr 16, 2012By 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. David L Kitzes, MD

Title

Owner

Phone

(401) 331-8877

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1790042729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 NORTH MAIN STREET",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02904",
            "telephone_number": "401-331-8877",
            "fax_number": "401-331-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 N MAIN ST",
            "address_2": "SUITE 200",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045740",
            "telephone_number": "401-331-8877",
            "fax_number": "401-331-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L.KITZES,MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "KITZES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-331-8877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "4216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgina Dauda, LCSW
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• Richard M. Dauphinais, M.D.
• David J. Lenkewicz DC Inc.
• David T. Barrall MD, Inc
• Jenny R David, DO
• Kayla E David, LMFT
• Duncan Ben Davidson, M.D.
• Kelsey Theresa Davidson, MA, LCDP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.