Active NPI
Landmark Medical Center
Doing business as LAndmark Health Services
- Internal Medicine Physician
- Woonsocket, RI
National Provider Identifier
1942412002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD8368
- 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, 2013
- Organization subpart
- Yes
- Parent organization
- LANDMARK MEDICAL CENTER
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9006838 | Medicaid | RI |
Other names 1
- LAndmark Health Services
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.
-
- Psychiatry Physician
- East Greenwich, RI
- NPI 1952386450
-
- Psychiatry Physician
- Corcoran, CA
- NPI 1932205655
-
- Family Nurse Practitioner
- North Smithfield, RI
- NPI 1881877355
-
- Orthopaedic Surgery Physician
- Woonsocket, RI
- NPI 1699790121
-
- Clinical Neuropsychologist
- East Providence, RI
- NPI 1407874878
-
- Psychologist
- Pascoag, RI
- NPI 1942306675
-
- Family Nurse Practitioner
- North Smithfield, RI
- NPI 1497795975
-
- Family Nurse Practitioner
- Providence, RI
- NPI 1598101925
-
- Nurse Practitioner
- Providence, RI
- NPI 1093783656
-
- Internal Medicine Physician
- Warwick, RI
- NPI 1316924897
-
- Specialist
- East Providence, RI
- NPI 1790863785
-
- Clinical Psychologist
- East Providence, RI
- NPI 1407889454
Clinical Neuropsychologist
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
- Garron Lamp, MD
- Landmark Medical Center (Landmark MC EKG Dept.)
- Landmark Medical Center (Landmark MC Occupational Medicine Dept. NP)
- Landmark Medical Center (Landmark MC Occupational Health Dept.)
- Landmark Medical Center (Landmark MC Pathology Dept.)
- Landmark Medical Center (Landmark MC Nuclear Med Dept.)
- Landmark Physician Associates
- Landmark Physician Office Services
- Kathryn Landolfi, LCSW
- Eileen P Landry, LICSW
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.