Active NPI
South County Hospital Healthcare System
- Internal Medicine Physician
- Wakefield, RI
National Provider Identifier
1831364538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM
- Practice address
- 100 Kenyon Ave
Wakefield, RI 02879-4216 - Phone
- (401) 782-8035
- NPI assigned
- Apr 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Francis Fogerty Jr.
- Title
- Administrative Director, Finance
- Phone
- (401) 788-1978
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Pulmonary Disease Physician | 207RP1001X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | |||
| Nurse Practitioner | 363L00000X | |||
| Clinical Nurse Specialist | 364S00000X |
Addresses
Primary practice location
100 Kenyon Ave
Wakefield, RI 02879-4216
Mailing address
100 Kenyon Ave
Wakefield, RI 02879-4216
Phone (401) 788-3929
Other names 1
- Silver Springs Healthcare Management
National Provider Directory
National Provider Directory- Tax ID family
- R I Emergency Physician
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Wakefield, RI
- NPI 1851746259
-
- General Acute Care Hospital
- Wakefield, RI
- NPI 1952366106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786579200000",
"number": "1831364538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KENYON AVE",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028794216",
"telephone_number": "401-788-3929",
"fax_number": "401-788-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 KENYON AVE",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028794216",
"telephone_number": "401-782-8035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-24",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A",
"authorized_official_last_name": "FOGERTY",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "FRANCIS",
"authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR, FINANCE",
"authorized_official_telephone_number": "401-788-1978",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Silver Springs Healthcare Management",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wakefield, RI
- South County Anesthesia Associates, LLC
- South County Artificial Limb Co., Inc.
- South County Behavioral Medicine Inc
- South County Community Action
- South County Health
- South County Hospital Healthcare System
- South County Internal Medicine, Inc.
- South County Orthopedics & Physical Therapy, Inc.
- South County Pediatric Group, Inc.
- South County Podiatry Associates, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.