ROGER WILLIAMS MEDICAL CENTER (NPI# 1912253675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912253675 |
| Entity Type | Organization |
| Organization Name | ROGER WILLIAMS MEDICAL CENTER |
| Practice Address |
25 Chalkstone Ave Providence RI 02908 |
| Mailing Address |
1 Regency Plz Apt612r Providence RI 02903-3158 |
| Practice Telephone | 4014562033 |
| Mailing Telephone | 3105931523 |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |
| Authorized Official Name | DR. BERNAND ZIMMERMANN (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 4014562033 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | LP02653 | RI | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1518987981 | Roger Williams Medical Center | Surgery | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2006-07-20 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ROGER WILLIAMS MEDICAL CENTER | 825 Chalkstone Ave, Providence, RI 02908-4728 |
| Street Address |
25 CHALKSTONE AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02908 |
| 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 |
| 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 |
| 1669596367 | The Providence Community Health Centers, Inc. | Clinic/Center | 85 A Chad Brown Street, Providence, RI 02908 | 2007-03-19 |
| Find all providers in zip 02908 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801889035 | State of Rhode Island and Providence Plantations | Long Term Care Hospital | 111 Howard Ave, Cranston, RI 02920-3001 | 2005-08-23 |
| 1922197789 | State of Rhode Island and Providence Plantations | Long Term Care Hospital | 111 Howard Ave, Cranston, RI 02920-3001 | 2006-10-12 |
| City | PROVIDENCE |
| Zip Code | 02908 |
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| 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.