Active NPI
Marla C Angermeier, MD, PC
- Dermatology Physician
- Providence, RI
National Provider Identifier
1851559207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 6161
- Legal business name
- MARLA C ANGERMEIER, MD, PC
- Practice address
- 148 W River St
Suite 1 B
Providence, RI 02904-2615 - Phone
- (401) 273-9310
- Fax
- (401) 273-1270
- NPI assigned
- May 31, 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
- Marla Angermeier, MD
- Title
- President
- Phone
- (401) 273-9310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 6161 | RI | Primary |
Addresses
Primary practice location
148 W River St
Suite 1 B
Providence, RI 02904-2615
Mailing address
148 W River St
Suite 1 B
Providence, RI 02904-2615
Phone (401) 273-9310
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079000274 | Other | RI | MEDICARE ID TYPE UNSPECIFIED |
| 070001832 | Other | RAILROAD MEDICARE | |
| 2741 | Other | RI | BLUE CROSS |
| 050423719 | Other | UNITED HEALTH PLAN | |
| 900274 | Medicaid | RI | |
| 003626 | Other | RI | BLUE CHIP |
National Provider Directory
National Provider DirectoryLocations
148 W River St
Ste 1B
Providence, RI 02904
Phone (401) 272-9310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212192000000",
"number": "1851559207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 W RIVER ST",
"address_2": "SUITE 1 B",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029042615",
"telephone_number": "401-273-9310",
"fax_number": "401-273-1270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 W RIVER ST",
"address_2": "SUITE 1 B",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029042615",
"telephone_number": "401-273-9310",
"fax_number": "401-273-1270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARLA C ANGERMEIER, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-31",
"last_updated": "2008-05-31",
"status": "A",
"authorized_official_last_name": "ANGERMEIER",
"authorized_official_first_name": "MARLA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "401-273-9310",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "RI",
"license": "6161",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID TYPE UNSPECIFIED",
"identifier": "079000274",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "070001832",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "2741",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH PLAN",
"identifier": "050423719",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "900274",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "003626",
"state": "RI"
}
],
"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 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.