Active NPIOrganization

Physician Assist LLC

Physician Assistant, Surgical in Wakefield, Rhode Island

NPI Number1669702569
Practice location
35 Broad Rock RD, Wakefield, RI 02879-1872
Fax
—
Last updated
December 28, 2009

Physician Assist LLC is a healthcare organization based in Wakefield, RI. Physician Assist LLC practices in Wakefield, RI. The NPI Number for Physician Assist LLC is 1669702569 and holds a License No. pa00255 (RI). The current practice location address for Physician Assist LLC is 35 Broad Rock RD, Wakefield, RI 02879-1872 and can be reached out via phone at 401-265-4553.

Provider Profile Details

NPI Number
1669702569
Provider Name
Physician Assist LLC
Provider Entity Type
Organization
Address
35 Broad Rock RD, Wakefield, RI 02879-1872
Phone Number
401-265-4553
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Organization Subpart
No
Authorized Official
Mr. Michael John Cobb, PA-C · Owner · 401-265-4553
Provider Enumeration Date
December 28, 2009
Last Update Date
December 28, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Broad Rock RD
Wakefield, RI 02879-1872
Zip
02879-1872
Phone Number
401-265-4553
Wakefield, RI 02879Get directions →

Provider Business Mailing Address Details

Address
35 Broad Rock RD
Wakefield, RI 02879-1872
City
Wakefield
State
RI
Zip
02879-1872
Phone Number
401-265-4553

License Information

License Number
pa00255
License State
RI
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

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

Other Physician Assistant, Surgical providers near Wakefield, RI

View all Physician Assistant, Surgical providers in Wakefield →

Frequently Asked Questions

What is the NPI number of Physician Assist LLC?

The NPI number of Physician Assist LLC is 1669702569. It was assigned on December 28, 2009 and is currently active in the NPPES registry.

What is the specialty of Physician Assist LLC?

Physician Assist LLC is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in RI under license number pa00255.

Where does Physician Assist LLC practice?

The practice location is 35 Broad Rock RD, Wakefield, RI 02879-1872. The office can be reached at 401-265-4553 (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 1669702569 directly on the NPPES registry website.

Browse related providers