NPI 1093932972 · live from the CMS NPI Registry
Keith Monchik, M.D.
Orthopaedic Surgery, Sports Medicine in Providence, RI. National Provider Identifier 1093932972, active.
NPI record
| NPI | 1093932972 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Sports Medicine 207XX0005X |
| Practice location | 285 Promenade St, Providence, RI 02908 |
| Practice phone | 401-459-4001 |
| Enumerated | April 20, 2007 |
| Last updated | June 16, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Sports Medicine primary | 207XX0005X | MD12614 (RI) |
| Orthopaedic Surgery | 207X00000X | MD12614 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.