NPI 1427286608 · live from the CMS NPI Registry
Jack Anavian, M.D.
Orthopaedic Surgery in Providence, RI. National Provider Identifier 1427286608, active.
NPI record
| NPI | 1427286608 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 2 Dudley St, Suite 200, Providence, RI 02905 |
| Practice phone | 401-444-3581 |
| Mailing address | 2943 Highway 77, Panama City, FL 32405 |
| Enumerated | June 26, 2009 |
| Last updated | October 28, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | 14549 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.