NPI 1649009507 · live from the CMS NPI Registry
Chartercare Roger Williams Medical Center
Internal Medicine in Providence, RI. National Provider Identifier 1649009507, active.
NPI record
| NPI | 1649009507 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 825 Chalkstone Ave, Providence, RI 02908 |
| Practice phone | 401-456-2000 |
| Enumerated | July 30, 2024 |
| Last updated | July 31, 2024 |
| Authorized official | Jeffrey Liebman, Ceo |
| Other names | Roger Williams Medical Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Psychologist, Addiction (Substance Use Disorder) | 103TA0400X | — |
| Social Worker | 104100000X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Specialist | 174400000X | — |
| Internal Medicine primary | 207R00000X | — |
| Internal Medicine, Addiction Medicine | 207RA0401X | — |
| Internal Medicine, Hematology & Oncology | 207RH0003X | — |
| Internal Medicine, Pulmonary Disease | 207RP1001X | — |
| Orthopaedic Surgery | 207X00000X | — |
| Psychiatry & Neurology, Addiction Psychiatry | 2084P0802X | — |
| Surgery | 208600000X | — |
| Surgery, Surgical Oncology | 2086X0206X | — |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.