Healthcare Provider Details

I. General information

NPI: 1568463115
Provider Name (Legal Business Name): MEDICAL ASSOCIATES OF RHODE ISLAND INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1180 HOPE ST
BRISTOL RI
02809-1126
US

IV. Provider business mailing address

1180 HOPE ST
BRISTOL RI
02809-1126
US

V. Phone/Fax

Practice location:
  • Phone: 401-253-8900
  • Fax: 401-253-3131
Mailing address:
  • Phone: 401-253-8900
  • Fax: 401-253-3131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number StateRI
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateRI
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateRI
# 5
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number StateRI
# 6
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number StateNULL

VIII. Authorized Official

Name: PAMELA A. HARROP
Title or Position: PRESIDENT
Credential: M.D.
Phone: 401-253-8900