Active NPIIndividual provider

Madison M Wiggin, PA

Physician Assistant in East Providence, Rhode Island

NPI Number1639611262
Practice location
1 Kettle Point Ave, East Providence, RI 02914-5375
Fax
—
Last updated
January 23, 2023

Madison Macaruso Wiggin is a Physician Assistant based in East Providence, RI. Madison Macaruso Wiggin practices in East Providence, RI and has the professional credentials of PA. The NPI Number for Madison Macaruso Wiggin is 1639611262 and holds a License No. AT00376 (RI). The current practice location address for Madison Macaruso Wiggin is 1 Kettle Point Ave, East Providence, RI 02914-5375 and can be reached out via phone at 401-457-1500.

Provider Profile Details

NPI Number
1639611262
Provider Name
Madison Macaruso Wiggin
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1 Kettle Point Ave, East Providence, RI 02914-5375
Phone Number
401-457-1500
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
Madison Macaruso, PA (Former Name)
Provider Enumeration Date
November 14, 2016
Last Update Date
January 23, 2023
Certification Date
January 23, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Kettle Point Ave
East Providence, RI 02914-5375
Zip
02914-5375
Phone Number
401-457-1500
East Providence, RI 02914Get directions →

Provider Business Mailing Address Details

Address
Po Box 1119
Providence, RI 02901-1119
City
Providence
State
RI
Zip
02901-1119

License Information

License Number (1)
AT00376
License State (1)
RI
License Number (2)
PH106006
License State (2)
RI
Taxonomy (2)
Pharmacy Technician · 183700000X
License Number (3)
PA01413
License State (3)
RI
Taxonomy (3)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physician Assistants near East Providence, RI

View all Physician Assistants in East Providence →

Frequently Asked Questions

What is the NPI number of Madison M Wiggin, PA?

The NPI number of Madison M Wiggin, PA is 1639611262. It was assigned on November 14, 2016 and is currently active in the NPPES registry.

What is the specialty of Madison M Wiggin, PA?

Madison M Wiggin, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number AT00376.

Where does Madison M Wiggin, PA practice?

The practice location is 1 Kettle Point Ave, East Providence, RI 02914-5375. The office can be reached at 401-457-1500 (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 1639611262 directly on the NPPES registry website.

Browse related providers