Mr. Douglas B Genereux, PA-C
Physician Assistant in Wakefield, Rhode Island
1518049469- Practice location
- 70 Kenyon Ave Ste 280, Wakefield, RI 02879-4253
- Phone
- 401-284-1212
- Fax
- 401-788-8730
- Last updated
- July 20, 2026
Douglas Bruce Genereux is a Physician Assistant based in Wakefield, RI. Douglas Bruce Genereux practices in Wakefield, RI and has the professional credentials of PA-C. The NPI Number for Douglas Bruce Genereux is 1518049469 and holds a License No. PA00199 (RI). The current practice location address for Douglas Bruce Genereux is 70 Kenyon Ave Ste 280, Wakefield, RI 02879-4253 and can be reached out via phone at 401-284-1212 and via fax at 401-788-8730.
Provider Profile Details
- NPI Number
- 1518049469
- Provider Name
- Douglas Bruce Genereux
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 70 Kenyon Ave Ste 280, Wakefield, RI 02879-4253
- Phone Number
- 401-284-1212
- Fax Number
- 401-788-8730
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 19, 2006
- Last Update Date
- July 20, 2026
- Certification Date
- July 20, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 70 Kenyon Ave Ste 280
Wakefield, RI 02879-4253 - City
- Wakefield
- State
- Rhode Island
- Zip
- 02879-4253
- Phone Number
- 401-284-1212
- Fax Number
- 401-788-8730
Provider Business Mailing Address Details
- Address
- Po Box 229
Wakefield, RI 02880-0229 - City
- Wakefield
- State
- RI
- Zip
- 02880-0229
- Phone Number
- 401-788-3929
- Fax Number
- 401-788-3939
License Information
- License Number (1)
- PA00199
- License State (1)
- RI
- Taxonomy (1)
- Physician Assistant, Surgical · 363AS0400X
- License Number (2)
- PA00199
- License State (2)
- RI
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Douglas B Genereux, PA-C?
The NPI number of Mr. Douglas B Genereux, PA-C is 1518049469. It was assigned on October 19, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Douglas B Genereux, PA-C?
Mr. Douglas B Genereux, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA00199.
Where does Mr. Douglas B Genereux, PA-C practice?
The practice location is 70 Kenyon Ave Ste 280, Wakefield, RI 02879-4253. The office can be reached at 401-284-1212 (phone) or 401-788-8730 (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 1518049469 directly on the NPPES registry website.