Healthcare Provider Details

I. General information

NPI: 1114161064
Provider Name (Legal Business Name): ALEXIS PAPPAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2009
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72 WASHINGTON ST STE 2200
TAUNTON MA
02780-7409
US

IV. Provider business mailing address

15 LA SALLE SQ
PROVIDENCE RI
02903-1814
US

V. Phone/Fax

Practice location:
  • Phone: 508-828-7740
  • Fax: 508-828-7747
Mailing address:
  • Phone: 401-444-6779
  • Fax: 401-444-6912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number267092
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: