ROGER WILLIAMS MEDICAL CENTER


Address: 825 Chalkstone Ave, Providence, RI 02908-4728
Phone: 4014562000

ROGER WILLIAMS MEDICAL CENTER (NPI# 1518987981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518987981
Entity Type Organization
Organization Name ROGER WILLIAMS MEDICAL CENTER
Other Organization Name ROGER WILLIAMS PHYSICIAN ASSISTANT GROUP
Practice Address 825 Chalkstone Ave
Providence
RI 02908-4728
Mailing Address 825 Chalkstone Ave
N. Campus Business Office
Providence
RI 02908-4728
Practice Telephone 4014562000
Practice Fax Number 4014566718
Mailing Telephone 4014562000
Mailing Fax Number 4014566718
Enumeration Date 2006-07-20
Last Update Date 2013-12-18
Authorized Official Name KENNETH BELCHER (PREDIDENT, CEO)
Authorized Official Telephone 4014562000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RI 9002981 05

Other Provider/Organization Names

Other Name Type Code
ROGER WILLIAMS PHYSICIAN ASSISTANT GROUP Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1912253675 Roger Williams Medical Center Long Term Care Hospital 25 Chalkstone Ave, Providence, RI 02908 2012-07-31
1477977064 Roger Williams Medical Center Dermatology 825 Chalkstone Ave, Providence, RI 02908-4728 2014-02-18
1063853661 Roger Williams Medical Center General Acute Care Hospital 825 Chalkstone Ave, Providence, RI 02908-4728 2013-07-11
1760736557 Roger Williams Medical Center Surgery 825 Chalkstone Ave, Providence, RI 02908-4728 2012-11-01
1710244157 Roger Williams Medical Center Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2012-04-23
1568498392 Roger Williams Medical Center Nutritionist 825 Chalkstone Ave, Providence, RI 02908-4728 2006-06-23
1457395998 Roger Williams Medical Center Psychiatry & Neurology 825 Chalkstone Ave, Providence, RI 02908-4728 2006-06-15
1114961729 Roger Williams Medical Center Home Health 50 Maude St, Providence, RI 02908-4325 2006-06-15
1649278250 Roger Williams Medical Center General Acute Care Hospital 825 Chalkstone Ave, Providence, RI 02908-4728 2005-07-08

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ROGER WILLIAMS MEDICAL CENTER 825 Chalkstone Ave, Providence, RI 02908-4728

Office Location

Street Address 825 CHALKSTONE AVE
City PROVIDENCE
State RI
Zip Code 02908-4728

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467459263 Ritesh Rathore Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2005-07-07
1821698903 Afsana Jahan Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-10-28
1861090508 Anthony Joseph Paoletta Social Worker 825 Chalkstone Ave, Providence, RI 02908-4728 2020-10-14
1255941720 Georgio Medawar Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-08-08
1265042733 Jessica Khoury Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-08-08
1215547617 Amy Remillard Social Worker 825 Chalkstone Ave, Providence, RI 02908-4728 2020-07-31
1225647738 Abdallah Mohamed Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-07-30
1467061309 Catherine Ekladios Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-07-27
1982213948 Jamal Al Ali Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-07-27
1811506793 Sadollah Ghasempour Soleymani Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-07-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548771900 Horizon Wellness Clinic/Center 1339 Smith St, North Providence, RI 02908 2017-10-12
1477098069 Beth Perry Nurse Practitioner 830 Chalstone Ave., Providence, RI 02908 2017-01-05
1659788735 Brandi Kimble Podiatrist 825 Chalkstone Avenue, Providence, RI 02908 2014-07-21
1912253675 Roger Williams Medical Center Long Term Care Hospital 25 Chalkstone Ave, Providence, RI 02908 2012-07-31
1669768818 Elisa Semedo Physical Therapist 285 Promenade Street, Providence, RI 02908 2011-06-27
1255655502 Caregiver Homes of Rhode Island Inc. Custodial Care Facility 235 Promenade Street, Providence, RI 02908 2010-03-16
1487884987 Professional Ambulance LLC Ambulance 52 River Ave, Providence, RI 02908 2009-07-17
1609065804 Stephen W Davis Family Medicine 299 Promenade Street, Nhpri, Providence, RI 02908 2007-10-24
1205053899 John R Ricci Dentist 1252 Smith St, Providence, RI 02908 2007-04-18
1871718718 Brett C Auclaire Nurse Practitioner 40 Candace Street, Providence, RI 02908 2007-04-16
Find all providers in zip 02908

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497235014 Yao Zhou Liu Surgery 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 2018-08-14
1801389713 Aparna Ashok Surgery 2 Dudley St Ste 174, Providence, RI 02905-3246 2018-06-14
1174845606 Vahey M. Pahigian M.d., Ltd. Surgery 323 Angell Street, Providence, RI 02906-3293 2010-02-25
1477885424 Remo Moomiaie Surgery 137 Doyle Ave, Providence, RI 02906-1609 2010-02-02
1962639690 Rachel Erin Beard Surgery 2 Dudley St Ste 370, Providence, RI 02905-3248 2009-06-21
1407019490 Hannah Alice Bansil Surgery 668 Eddy St, Providence, RI 02903-4942 2008-07-09
1487748729 Christine M. Emmick Surgery 100 Highland Ave Ste 308, Providence, RI 02906-2753 2006-10-03
1376589895 University Surgical Associates, Inc. Surgery 2 Dudley St Ste 470, Providence, RI 02905-3248 2006-06-22
1881683985 Arnold Harvey Herman Surgery 528 N Main St, Suite 3, Providence, RI 02904-5762 2005-10-20
1790783744 Beth Ann Ryder Surgery 195 Collyer St, Suite 302, Providence, RI 02904-1869 2005-07-13
Find all providers in PROVIDENCE

Competitor

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City PROVIDENCE
Zip Code 02908

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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