Provident Pain And Wellness Clinic
Physical Medicine & Rehabilitation, Pain Medicine in Newport, Rhode Island
1639404635- Practice location
- 19 Friendship St, Suite 160, Newport, RI 02840-2200
- Phone
- 401-499-7771
- Fax
- —
- Last updated
- March 28, 2011
Provident Pain And Wellness Clinic is a healthcare organization based in Newport, RI. Provident Pain And Wellness Clinic practices in Newport, RI. The NPI Number for Provident Pain And Wellness Clinic is 1639404635 and holds a License No. 10503 (RI). The current practice location address for Provident Pain And Wellness Clinic is 19 Friendship St, Suite 160, Newport, RI 02840-2200 and can be reached out via phone at 401-499-7771.
Provider Profile Details
- NPI Number
- 1639404635
- Provider Name
- Provident Pain And Wellness Clinic
- Provider Entity Type
- Organization
- Address
- 19 Friendship St, Suite 160, Newport, RI 02840-2200
- Phone Number
- 401-499-7771
- Primary Taxonomy
- Physical Medicine & Rehabilitation, Pain Medicine · 2081P2900X
- Organization Subpart
- No
- Authorized Official
- Raul A Masing, MD · Owner · 401-499-7771
- Provider Enumeration Date
- October 8, 2009
- Last Update Date
- March 28, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19 Friendship St
Suite 160
Newport, RI 02840-2200 - City
- Newport
- State
- Rhode Island
- Zip
- 02840-2200
- Phone Number
- 401-499-7771
Provider Business Mailing Address Details
- Address
- 75 Newman Ave
Suite 100
Rumford, RI 02916-3603 - City
- Rumford
- State
- RI
- Zip
- 02916-3603
- Phone Number
- 401-453-0666
License Information
- License Number (1)
- 10503
- License State (1)
- RI
- Taxonomy (1)
- Anesthesiology · 207L00000X
- License Number (2)
- PT01902
- License State (2)
- RI
- Taxonomy (2)
- Physical Therapist · 225100000X
- License Number (3)
- 10503
- License State (3)
- RI
- Taxonomy (3)
- Physical Medicine & Rehabilitation, Pain Medicine · 2081P2900X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Medicine & Rehabilitation, Pain Medicine providers near Newport, RI
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- Joseph M BiagioniMilitary Health Care Provider, Independent Duty Corpsman · NPI 1639702020
- Christopher M Erstling, MDPsychiatry & Neurology, Psychiatry · NPI 1023185675
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Frequently Asked Questions
What is the NPI number of Provident Pain And Wellness Clinic?
The NPI number of Provident Pain And Wellness Clinic is 1639404635. It was assigned on October 8, 2009 and is currently active in the NPPES registry.
What is the specialty of Provident Pain And Wellness Clinic?
Provident Pain And Wellness Clinic is registered under the primary taxonomy Physical Medicine & Rehabilitation, Pain Medicine (code 2081P2900X), licensed in RI under license number 10503.
Where does Provident Pain And Wellness Clinic practice?
The practice location is 19 Friendship St, Suite 160, Newport, RI 02840-2200. The office can be reached at 401-499-7771 (phone).
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 1639404635 directly on the NPPES registry website.