Active NPI
Stephen James Traub, M.D.
- Emergency Medicine Physician
- Providence, RI
National Provider Identifier
1912910001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD16967
- Practice address
- 593 Eddy St
Claverick 2
Providence, RI 02903 - Phone
- (401) 444-4000
- NPI assigned
- Aug 13, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 42875 | AZ | |
| Emergency Medicine Physician | 207P00000X | 213490 | MA | |
| Emergency Medicine Physician | 207P00000X | MD16967 | RI | Primary |
Addresses
Primary practice location
593 Eddy St
Claverick 2
Providence, RI 02903
Mailing address
125 Whipple St Ste 3
Providence, RI 02908-3258
Phone (401) 519-0337
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42875 | AZ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Past | Accepting new patients | |
| Southwest Emergency Services, Inc. | Emergency Medicine | Past | Accepting new patients |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Past | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Emergency Medicine | Past | Accepting new patients |
| Sturdy Health, Inc. | Family Medicine | Past | Accepting new patients |
| St Lukes Roosevelt Hospital Center | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1861216038
-
- Emergency Medical Services (Emergency Medicine) Physician
- Boston, MA
- NPI 1952358533
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1346459104
-
- Emergency Medicine Physician
- New York, NY
- NPI 1134211717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1912910001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 WHIPPLE ST STE 3",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029083258",
"telephone_number": "401-519-0337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"address_2": "CLAVERICK 2",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02903",
"telephone_number": "401-444-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAUB",
"first_name": "STEPHEN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "42875",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "213490",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "RI",
"license": "MD16967",
"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 Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.