Emily Ackerman M.D. LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD11830 Issued in RI

Legal business name

EMILY ACKERMAN M.D. LLC

Practice address

594 Great Rd
Suite 102B
North Smithfield, RI 02896-6810

Phone

(401) 768-3700

Fax

(401) 768-3703

NPI assigned

Jan 21, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Emily Ackerman, MDNPI 1740256395

Title

Owner

Phone

(401) 768-3700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Jane Ackerman, M.D.

  • Family Medicine Physician
  • Slatersville, RI
  • NPI 1740256395
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1881925493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 GREAT RD",
            "address_2": "SUITE 102B",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028966810",
            "telephone_number": "401-768-3700",
            "fax_number": "401-768-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 GREAT RD",
            "address_2": "SUITE 102B",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028966810",
            "telephone_number": "401-768-3700",
            "fax_number": "401-768-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY ACKERMAN M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-768-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD11830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chelsea Ann Eccleston
• Katie E Evans, PT, DPT
• Amy Christine Exter, CCC-SLP
• Amanda Fallon, PHARMD
• Suzanne Farinella, PA
• Diana M Fleury, CLMT

• Internal Medicine Physician in North Smithfield, RI
• Providers in North Smithfield, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.

Verify at the official NPI Registry.