Lifespan Physician Group, INC.
Internal Medicine in Warren, Rhode Island
1629449210- Practice location
- 639 Metacom Ave, Warren, RI 02885-2348
- Phone
- 401-245-1500
- Fax
- 401-247-2618
- Last updated
- April 20, 2023
Lifespan Physician Group, INC. is a healthcare organization based in Warren, RI. Lifespan Physician Group, INC. practices in Warren, RI. The NPI Number for Lifespan Physician Group, INC. is 1629449210. The current practice location address for Lifespan Physician Group, INC. is 639 Metacom Ave, Warren, RI 02885-2348 and can be reached out via phone at 401-245-1500 and via fax at 401-247-2618.
Provider Profile Details
- NPI Number
- 1629449210
- Provider Name
- Lifespan Physician Group, INC.
- Provider Entity Type
- Organization
- Address
- 639 Metacom Ave, Warren, RI 02885-2348
- Phone Number
- 401-245-1500
- Fax Number
- 401-247-2618
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Peter K Markell · Evp & Cfo · 401-444-7914
- Other Names
- Metacom Medical (Other Name)
- Provider Enumeration Date
- October 8, 2015
- Last Update Date
- April 20, 2023
- Certification Date
- April 20, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 639 Metacom Ave
Warren, RI 02885-2348 - City
- Warren
- State
- Rhode Island
- Zip
- 02885-2348
- Phone Number
- 401-245-1500
- Fax Number
- 401-247-2618
Provider Business Mailing Address Details
- Address
- 117 Ellenfield St
Suite 101
Providence, RI 02905-4513 - City
- Providence
- State
- RI
- Zip
- 02905-4513
- Phone Number
- 401-444-6779
- Fax Number
- 401-444-6912
License Information
- Taxonomy (1)
- Chiropractor · 111N00000X
- Taxonomy (2)
- Nurse Practitioner · 363L00000X
- Taxonomy (3)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Warren, RI
View all Internal Medicine providers in Warren →Frequently Asked Questions
What is the NPI number of Lifespan Physician Group, INC.?
The NPI number of Lifespan Physician Group, INC. is 1629449210. It was assigned on October 8, 2015 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 Internal Medicine (code 207R00000X).
Where does Lifespan Physician Group, INC. practice?
The practice location is 639 Metacom Ave, Warren, RI 02885-2348. The office can be reached at 401-245-1500 (phone) or 401-247-2618 (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 1629449210 directly on the NPPES registry website.