Healthcare Provider Details

I. General information

NPI: 1588646632
Provider Name (Legal Business Name): CATHY J. SCHOORENS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2005
Last Update Date: 04/22/2021
Certification Date: 04/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 NATE WHIPPLE HWY
CUMBERLAND RI
02864-1403
US

IV. Provider business mailing address

1725 MENDON RD SUITE 207
CUMBERLAND RI
02864-4337
US

V. Phone/Fax

Practice location:
  • Phone: 401-658-2020
  • Fax: 401-658-3612
Mailing address:
  • Phone: 401-334-2423
  • Fax: 401-334-9808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD11616
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: