EMERGENCY MEDICINE PHYSICIANS OF PROVIDENCE COUNTY, LLC
NPI 1194764019
Emergency Medicine in Providence, RI
NPI Status: Active since June 06, 2006
Contact Information
825 CHALKSTONE AVE
PROVIDENCE, RI
ZIP 02908
Phone: (330) 493-4443
Fax: (330) 493-8677
- Organization
- Emergency Medicine
About EMERGENCY MEDICINE PHYSICIANS OF PROVIDENCE COUNTY, LLC
This page provides the complete NPI Profile along with additional information for Emergency Medicine Physicians Of Providence County, Llc, a provider established in Providence, Rhode Island operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1194764019 assigned on June 2006. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is David C Packo Md (President)
- NPI
- 1194764019
- Provider Name
- EMERGENCY MEDICINE PHYSICIANS OF PROVIDENCE COUNTY, LLC
- Entity Type
- Organization
- Location Address
- 825 CHALKSTONE AVE PROVIDENCE, RI 02908
- Location Phone
- (330) 493-4443
- Location Fax
- (330) 493-8677
- Mailing Address
- 4535 DRESSLER RD NW CANTON, OH 44718
- Mailing Phone
- (330) 493-4443
- Mailing Fax
- (330) 493-8677
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-06-2006
- Last Update Date
- 10-23-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9003126 | MEDICAID (05) | RI |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 9 | 4 | 7 | 6 | 4 | 0 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 18 | 4 | 14 | 6 | 8 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 8 + 4 + 1 + 4 + 6 + 8 + 0 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1194764019 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1467459263 | RITESH RATHORE MD Individual | Internal Medicine (Hematology & Oncology) | 825 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 456-2077 |
| 1962409714 | TIMOTHY W BURNAP PA Individual | Physician Assistant (Surgical) | 825 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 456-2000 |
| 1598762346 | PUNEET SUD MD Individual | Specialist | 825 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 456-2363 |
| 1689668709 | THOMAS F ALLEN MSW,LICSW Individual | Social Worker (Clinical) | 825 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 456-2363 |
| 1750363974 | COURTNEY C BRASWELL R.D.L.D. Individual | Nutritionist | 825 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 456-2277 |
| 1285617845 | DR. BRIAN F STAINKEN M.D. Individual | Radiology (Vascular & Interventional Radiology) | 825 CHALKSTONE AVE ROGER WILLIAMS MEDICAL CENTER - IMAGING NETWORK OF RI PROVIDENCE, RI 02908 (401) 456-2204 |
| 1689657249 | IMAGING NETWORK OF RHODE ISLAND, INC. Organization | Radiology (Diagnostic Radiology) | 825 CHALKSTONE AVE ROGERS WILLIAMS MEDICAL CENTER PROVIDENCE, RI 02908 (401) 456-2204 |
| 1447221866 | ALEX ETIENNE MD Individual | Internal Medicine (Addiction Medicine) | 825 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 456-2363 |
| 1154373223 | KERRI L LANNI P.A. Individual | Physician Assistant | 825 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 456-2309 |
| 1821043795 | BHARTI RATHORE MD Individual | Internal Medicine (Hematology & Oncology) | 825 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 456-2077 |
| 1215974365 | ROGER WILLIAMS HOSPITAL Organization | Specialist | 825 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 456-2677 |
| 1114965795 | KAREN L COLANNINO RD LDN Individual | Nutritionist | 825 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 456-2504 |
| 1316988363 | PETER A OLIVIERI LMFT Individual | Counselor (Addiction (Substance Use Disorder)) | 825 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 456-2311 |
| 1619980299 | ROBERT LEV M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 825 CHALKSTONE AVE ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT PROVIDENCE, RI 02908 (401) 456-2162 |
| 1023021623 | N PETER LIBBEY M.D. Individual | Pathology (Anatomic Pathology) | 825 CHALKSTONE AVE ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT. PROVIDENCE, RI 02908 (401) 456-2162 |
| 1730192493 | RICHARD M. DAUPHINAIS M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 825 CHALKSTONE AVE ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT PROVIDENCE, RI 02908 (401) 456-2162 |
| 1124031802 | JILA KHORSAND M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 825 CHALKSTONE AVE ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT PROVIDENCE, RI 02908 (401) 456-2162 |
| 1205942562 | CATHERINE BREEN M.D. Individual | Pathology (Dermatopathology) | 825 CHALKSTONE AVE PATHOLOGY DEPARTMENT PROVIDENCE, RI 02908 (401) 456-2162 |
| 1245346337 | AZNIF CALIKYAN M.D. Individual | Anesthesiology | 825 CHALKSTONE AVE PROVIDENCE, RI 02908 (401) 456-2666 |
| 1245332642 | PAUL FERBEND DO Individual | Pathology (Anatomic Pathology) | 825 CHALKSTONE AVE ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT. PROVIDENCE, RI 02908 (401) 456-2162 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194764019, enumerated in the NPI registry as an "organization" on June 06, 2006
The provider is located at 825 Chalkstone Ave Providence, Ri 02908 and the phone number is (330) 493-4443
This medical organization specializes in Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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