Organization Active NPI

Landmark Medical Center

Doing business as LAndmark Health Services

  • Internal Medicine Physician
  • Woonsocket, RI
National Provider Identifier
1942412002
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD8368 Issued in RI
Legal business name
LANDMARK MEDICAL CENTER
Doing business as
LAndmark Health Services
Practice address
115 Cass Ave
Woonsocket, RI 02895-4705
Phone
(401) 769-4100
NPI assigned
May 3, 2007
Last updated
Jan 22, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
LANDMARK MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Authorized official

Name
Mr. Richard R Charest
Title
President & Ceo
Phone
(401) 769-4100

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NPP37310 RI
Clinical Neuropsychologist 103G00000X PS00309 RI
Internal Medicine Physician 207R00000X MD8368 RI Primary
Hematology & Oncology Physician 207RH0003X 10608 RI
Occupational Medicine Physician 2083X0100X MD10684 RI
Neurology Physician 2084N0400X NU
Psychiatry Physician 2084P0800X MD05036 RI
Prescribing (Medical) Psychologist 103TP0016X PS00331 RI

Addresses

Primary practice location

115 Cass Ave
Woonsocket, RI 02895-4705

Mailing address

219 Cass Ave
Woonsocket, RI 02895-4741
Phone (401) 769-4100

Other identifiers 1

IdentifierTypeStateIssuer
9006838MedicaidRI

Other names 1

  • LAndmark Health Services Doing business as

National Provider Directory

National Provider Directory
Part of
Landmark MC Pulm Functi

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1942412002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 CASS AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954741",
            "telephone_number": "401-769-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CASS AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954705",
            "telephone_number": "401-769-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LANDMARK MEDICAL CENTER",
        "enumeration_date": "2007-05-03",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "CHAREST",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "401-769-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "NPP37310",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "RI",
            "license": "PS00309",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD8368",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "RI",
            "license": "10608",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "RI",
            "license": "MD10684",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "MD05036",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "RI",
            "license": "PS00331",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9006838",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAndmark Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woonsocket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.