CENTERVILLE PODIATRY LLC NPI 1073634374

NPI Information

  • NPI: 1073634374
  • Provider Name: CENTERVILLE PODIATRY LLC
  • Classification: Podiatrist - 213ES0000X
  • Specialization: Sports Medicine
  • Entity Type: Organization
  • Address: 469 CENTERVILLE RD
    SUITE 105
    WARWICK, RI
    ZIP 02886
  • Phone: (401) 738-9200

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NPI Details

CENTERVILLE PODIATRY LLC is a sports medicine podiatrist in Warwick, RI. CENTERVILLE PODIATRY LLC NPI is 1073634374. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

469 CENTERVILLE RD
SUITE 105
WARWICK, RI
ZIP 02886-354
Phone: (401) 738-9200
Fax: (401) 738-9400

The provider's authorized official is Christine Cabral .
The authorized official title is Office Manager and has the following contact phone number (401) 738-9200.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 6/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0000XPodiatristSports MedicineDPM00277RHODE ISLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11246080001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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