Active NPI
Giga Med II, LLC
- Internal Medicine Physician
- Newport, RI
National Provider Identifier
1861593733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD11019/MD10713
- Legal business name
- GIGA MED II, LLC
- Practice address
- 62 Broadway
Newport, RI 02840-2750 - Phone
- (401) 849-0500
- Fax
- (401) 849-0511
- NPI assigned
- Sep 25, 2006
- 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
- Dr. Abena Amoabea Addo, M.D.
- Title
- Partner
- Phone
- (401) 849-0500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD11019/MD10713 | RI | Primary |
Addresses
Primary practice location
62 Broadway
Newport, RI 02840-2750
Mailing address
62 Broadway
Newport, RI 02840-2750
Phone (401) 849-0500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GM58646 | Medicaid | RI |
Other names 1
- NEWPORT MEDICAL CENTER
National Provider Directory
National Provider DirectoryLocations
62 Broadway
Newport, RI 02840
Phone (401) 849-0500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- North Dartmouth, MA
- NPI 1750479283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1861593733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 BROADWAY",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028402750",
"telephone_number": "401-849-0500",
"fax_number": "401-849-0511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 BROADWAY",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028402750",
"telephone_number": "401-849-0500",
"fax_number": "401-849-0511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIGA MED II, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "ADDO",
"authorized_official_first_name": "ABENA",
"authorized_official_middle_name": "AMOABEA",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "401-849-0500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD11019/MD10713",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GM58646",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NEWPORT MEDICAL CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newport, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.