Lifespan Physician Group INC
Clinic/Center, Ambulatory Surgical in East Providence, Rhode Island
1134078868- Practice location
- 62 Amaral Street, East Providence, RI 02915
- Phone
- 401-649-4030
- Fax
- 401-649-4031
- Last updated
- July 16, 2026
Lifespan Physician Group INC is a healthcare organization based in East Providence, RI. Lifespan Physician Group INC practices in East Providence, RI. The NPI Number for Lifespan Physician Group INC is 1134078868. The current practice location address for Lifespan Physician Group INC is 62 Amaral Street, East Providence, RI 02915 and can be reached out via phone at 401-649-4030 and via fax at 401-649-4031.
Provider Profile Details
- NPI Number
- 1134078868
- Provider Name
- Lifespan Physician Group INC
- Provider Entity Type
- Organization
- Address
- 62 Amaral Street, East Providence, RI 02915
- Phone Number
- 401-649-4030
- Fax Number
- 401-649-4031
- Primary Taxonomy
- Clinic/Center, Ambulatory Surgical · 261QA1903X
- Organization Subpart
- Yes
- Parent Organization
- Lifespan Physician Group INC
- Authorized Official
- Donna Gordon · Director Professional Revenue Ops · 401-443-5107
- Other Names
- Brown Health Medical Group (Doing Business As)
Brown Health Medical Group Endoscopy Center (Doing Business As) - Provider Enumeration Date
- January 26, 2026
- Last Update Date
- July 16, 2026
- Certification Date
- July 16, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 62 Amaral Street
East Providence, RI 02915 - City
- East Providence
- State
- Rhode Island
- Zip
- 02915
- Phone Number
- 401-649-4030
- Fax Number
- 401-649-4031
Provider Business Mailing Address Details
- Address
- 15 La Salle Sq
Providence, RI 02903-1814 - City
- Providence
- State
- RI
- Zip
- 02903-1814
License Information
- Taxonomy
- Clinic/Center, Ambulatory Surgical · 261QA1903X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Ambulatory Surgical providers near East Providence, RI
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- Amanda M Mckeon, NPNurse Practitioner · NPI 1396589784
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Frequently Asked Questions
What is the NPI number of Lifespan Physician Group INC?
The NPI number of Lifespan Physician Group INC is 1134078868. It was assigned on January 26, 2026 and is currently active in the NPPES registry.
What is the specialty of Lifespan Physician Group INC?
Lifespan Physician Group INC is registered under the primary taxonomy Clinic/Center, Ambulatory Surgical (code 261QA1903X).
Where does Lifespan Physician Group INC practice?
The practice location is 62 Amaral Street, East Providence, RI 02915. The office can be reached at 401-649-4030 (phone) or 401-649-4031 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134078868 directly on the NPPES registry website.