Organization Active NPI

Smgri, PC

  • Surgery Physician
  • Providence, RI
National Provider Identifier
1801161484
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SMGRI, PC
Practice address
10 Weybosset St
Providence, RI 02903-2818
Phone
(617) 419-4700
NPI assigned
Mar 15, 2012
Last updated
May 2, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
STEWARD HEALTHCARE SYSTEMS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Michael Callum, MD
Title
Ceo
Phone
(617) 419-4702

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X
Obstetrics & Gynecology Physician 207V00000X
Orthopaedic Surgery Physician 207X00000X RI
Surgery Physician 208600000X Primary
Surgical Oncology Physician 2086X0206X

Addresses

Primary practice location

10 Weybosset St
Providence, RI 02903-2818

Mailing address

500 Boylston St
Boston, MA 02116-3740
Phone (617) 419-4700

Other names 1

  • SMG RI Other name

National Provider Directory

National Provider Directory

Locations

501 Great Rd
#325
North Smithfield, RI 02896
Phone (401) 766-4302

10 Weybosset St
Providence, RI 02903

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1801161484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163740",
            "telephone_number": "617-419-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WEYBOSSET ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029032818",
            "telephone_number": "617-419-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMGRI, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEWARD HEALTHCARE SYSTEMS LLC",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "CALLUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-419-4702",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "RI",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMG RI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.