Active NPI
Maged Taman, MD
- Endocrinology, Diabetes & Metabolism Physician
- Providence, RI
National Provider Identifier
1841381555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD09171
- Practice address
- 21 Peace Street
Providence, RI 02907 - Phone
- (401) 456-4122
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD09171 | RI | Primary |
Addresses
Primary practice location
21 Peace Street
Providence, RI 02907
Mailing address
200 High Service Avenue
4TH Floor Marian Hall
North Providence, RI 02904
Phone (401) 456-3649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD09171 | RI | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atwood Medical Associates LTD | Current | Accepting new patients | |
| St. Joseph Health Services of Ri | Past | Accepting new patients |
Locations
1524 Atwood Ave
Ste 220
Johnston, RI 02919
Phone (401) 272-1900
200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000
200 High Service Ave
Fl 4
North Providence, RI 02904
Phone (401) 456-3309
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
- Internal Medicine Physician
- Providence, RI
- NPI 1134264062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242777600000",
"number": "1841381555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HIGH SERVICE AVENUE",
"address_2": "4TH FLOOR MARIAN HALL",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "02904",
"telephone_number": "401-456-3649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 PEACE STREET",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02907",
"telephone_number": "401-456-4122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMAN",
"first_name": "MAGED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2009-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "RI",
"license": "MD09171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.