Healthcare Provider Details

I. General information

NPI: 1750348157
Provider Name (Legal Business Name): ROBERT JAMES KONESS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: R. JAMES KONESS MD

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 CHALKSTONE AVE
PROVIDENCE RI
02908-4734
US

IV. Provider business mailing address

830 CHALKSTONE AVE
PROVIDENCE RI
02908-4734
US

V. Phone/Fax

Practice location:
  • Phone: 401-273-7100
  • Fax: 401-357-3053
Mailing address:
  • Phone: 401-273-7100
  • Fax: 401-357-3053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number07304
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number07304
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: