Healthcare Provider Details

I. General information

NPI: 1134577505
Provider Name (Legal Business Name): SHAWN BINNS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2016
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 GEORGE WASHINGTON HWY STE 104
LINCOLN RI
02865-4299
US

IV. Provider business mailing address

15 LA SALLE SQ
PROVIDENCE RI
02903-1814
US

V. Phone/Fax

Practice location:
  • Phone: 401-606-8052
  • Fax: 401-606-8055
Mailing address:
  • Phone: 401-444-6779
  • Fax: 401-444-6912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD20903
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: