Macy Roderick, PA
Physician Assistant in Wakefield, Rhode Island
1922776897- Practice location
- 100 Kenyon Ave, Wakefield, RI 02879-4216
- Phone
- 401-782-8000
- Fax
- —
- Last updated
- August 19, 2025
Macy Roderick is a Physician Assistant based in Wakefield, RI. Macy Roderick practices in Wakefield, RI and has the professional credentials of PA. The NPI Number for Macy Roderick is 1922776897 and holds a License No. AMD-1238 (HI). The current practice location address for Macy Roderick is 100 Kenyon Ave, Wakefield, RI 02879-4216 and can be reached out via phone at 401-782-8000.
Provider Profile Details
- NPI Number
- 1922776897
- Provider Name
- Macy Roderick
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 Kenyon Ave, Wakefield, RI 02879-4216
- Phone Number
- 401-782-8000
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 3, 2021
- Last Update Date
- August 19, 2025
- Certification Date
- August 19, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Kenyon Ave
Wakefield, RI 02879-4216 - City
- Wakefield
- State
- Rhode Island
- Zip
- 02879-4216
- Phone Number
- 401-782-8000
Provider Business Mailing Address Details
- Address
- 770 Kapiolani Blvd
Honolulu, HI 96813-5212 - City
- Honolulu
- State
- HI
- Zip
- 96813-5212
- Phone Number
- 808-597-8791
License Information
- License Number (1)
- AMD-1238
- License State (1)
- HI
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- PA01394
- 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 Macy Roderick, PA?
The NPI number of Macy Roderick, PA is 1922776897. It was assigned on September 3, 2021 and is currently active in the NPPES registry.
What is the specialty of Macy Roderick, PA?
Macy Roderick, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in HI under license number AMD-1238.
Where does Macy Roderick, PA practice?
The practice location is 100 Kenyon Ave, Wakefield, RI 02879-4216. The office can be reached at 401-782-8000 (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 1922776897 directly on the NPPES registry website.