Healthcare Provider Details

I. General information

NPI: 1982227682
Provider Name (Legal Business Name): ORTHOPEDICS RHODE ISLAND, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2020
Last Update Date: 05/28/2020
Certification Date: 05/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

469 CENTERVILLE RD STE 105
WARWICK RI
02886-4356
US

IV. Provider business mailing address

200 CROSSINGS BLVD STE 310
WARWICK RI
02886-2872
US

V. Phone/Fax

Practice location:
  • Phone: 401-738-9200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MARY ELLEN ASHE
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 716-913-5012