Active NPI
Patrick Michael Vivier, MD
- Pediatrics Physician
- Providence, RI
National Provider Identifier
1891932430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD08064
- Practice address
- 593 Eddy St
Hasbro Children's Hospital
Providence, RI 02903-4923 - Phone
- (401) 444-5648
- Fax
- (401) 444-6378
- NPI assigned
- Jan 20, 2009
- Last updated
- Jan 20, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD08064 | RI | Primary |
Addresses
Primary practice location
593 Eddy St
Hasbro Children's Hospital
Providence, RI 02903-4923
Mailing address
PO Box G-S121
Brown University
Providence, RI 02912-0001
Phone (401) 863-2034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD08064 | RI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Rhode Island | Current | Accepting new patients | |
| The University of Rhode Island | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rhode Island Sports Medicine
- General Practice Physician
- Kingston, RI
- NPI 1477065118
-
dba URI Speech and Hearing Center
- Audiologist
- Kingston, RI
- NPI 1205692431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232409600000",
"number": "1891932430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX G-S121",
"address_2": "BROWN UNIVERSITY",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029120001",
"telephone_number": "401-863-2034",
"fax_number": "401-863-3533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"address_2": "HASBRO CHILDREN'S HOSPITAL",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-444-5648",
"fax_number": "401-444-6378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIVIER",
"first_name": "PATRICK",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-20",
"last_updated": "2009-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "RI",
"license": "MD08064",
"primary": true
}
],
"identifiers": [],
"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 Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.