Active NPI
Partners in Obstetrics and Gynecology
- Obstetrics & Gynecology Physician
- Pawtucket, RI
National Provider Identifier
1962440545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- PARTNERS IN OBSTETRICS AND GYNECOLOGY
- Practice address
- 333 School St
Suite 205
Pawtucket, RI 02860-5334 - Phone
- (401) 724-0600
- Fax
- (401) 724-8306
- NPI assigned
- Jun 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lisa R Domagalski, MD
- Title
- Partner
- Phone
- (401) 724-0600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
333 School St
Suite 205
Pawtucket, RI 02860-5334
Mailing address
333 School St
Suite 200
Pawtucket, RI 02860-5334
Phone (401) 724-0600
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9002529 | Medicaid | RI | |
| 462648 | Other | AETNA | |
| 2020 | Other | RI | NEIGHBORHOOD HEALTH |
| 2529 | Other | RI | BLUE CROSS |
| 608658 | Other | TUFTS HEALTH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 41D0942758 | Partners in Obstetrics and Gynecology | Certificate of waiver | Dec 31, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1295782787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962440545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 SCHOOL ST",
"address_2": "SUITE 200",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028605334",
"telephone_number": "401-724-0600",
"fax_number": "401-724-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 SCHOOL ST",
"address_2": "SUITE 205",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028605334",
"telephone_number": "401-724-0600",
"fax_number": "401-724-8306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARTNERS IN OBSTETRICS AND GYNECOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DOMAGALSKI",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "401-724-0600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9002529",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "462648",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "2020",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "2529",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH",
"identifier": "608658",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.