PHYSICIAN ASSIST LLC NPI 1669702569

NPI Information

  • NPI: 1669702569
  • Provider Name: PHYSICIAN ASSIST LLC
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Organization
  • Address: 35 BROAD ROCK RD
    WAKEFIELD, RI
    ZIP 02879
  • Phone: (401) 265-4553

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NPI Details

PHYSICIAN ASSIST LLC is a surgical physician assistant in Wakefield, RI. PHYSICIAN ASSIST LLC NPI is 1669702569. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

35 BROAD ROCK RD
WAKEFIELD, RI
ZIP 02879-872
Phone: (401) 265-4553

The provider's authorized official is Michael John Cobb .
The authorized official title is Owner and has the following contact phone number (401) 265-4553.

The enumeration date for this NPI number is 12/28/2009 and was last updated on 12/28/2009.

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
1363AS0400XPhysician AssistantSurgicalPA00255RHODE ISLANDYes

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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