Active NPI
Coastal Rheumatology PC Inc
- Rheumatology Physician
- Westerly, RI
National Provider Identifier
1851310890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- MD10564
- Legal business name
- COASTAL RHEUMATOLOGY PC INC
- Practice address
- 45 Wells Street
Suite 203B
Westerly, RI 02891 - Phone
- (401) 348-2180
- Fax
- (401) 348-6298
- NPI assigned
- Jul 19, 2006
- Last updated
- Mar 17, 2018
- 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
- Christopher A. D'Arcy, M.D.
- Title
- Owner/President
- Phone
- (401) 348-2180
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 3926 | CT | |
| Rheumatology Physician | 207RR0500X | MD10564 | RI | Primary |
| Rheumatology Physician | 207RR0500X | MD10874 | RI |
Addresses
Primary practice location
45 Wells Street
Suite 203B
Westerly, RI 02891
Mailing address
45 Wells Street
Suite 203B
Westerly, RI 02891
Phone (401) 348-2180
Other practice location 1
23 Clara Dr
Mystic, CT 06355-1959
Phone (401) 348-2180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GROUPCR40894 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, RI
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Rheumatology Physician
- Westerly, RI
- NPI 1912944174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1851310890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 WELLS STREET",
"address_2": "SUITE 203B",
"city": "WESTERLY",
"state": "RI",
"postal_code": "02891",
"telephone_number": "401-348-2180",
"fax_number": "401-348-6298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 WELLS STREET",
"address_2": "SUITE 203B",
"city": "WESTERLY",
"state": "RI",
"postal_code": "02891",
"telephone_number": "401-348-2180",
"fax_number": "401-348-6298"
}
],
"practiceLocations": [
{
"address_1": "23 Clara Dr",
"address_purpose": "LOCATION",
"city": "Mystic",
"state": "CT",
"postal_code": "063551959",
"country_code": "US",
"telephone_number": "401-348-2180",
"fax_number": "401-348-6298",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COASTAL RHEUMATOLOGY PC INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "D'ARCY",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "401-348-2180",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "CT",
"license": "3926",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "RI",
"license": "MD10564",
"primary": true
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "RI",
"license": "MD10874",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GROUPCR40894",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westerly, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.