Organization Active NPI

Giga Med II, LLC

  • Internal Medicine Physician
  • Newport, RI
National Provider Identifier
1861593733
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD11019/MD10713 Issued in RI
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

Updated by the provider on Apr 20, 2008

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GM58646MedicaidRI

Other names 1

  • NEWPORT MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.