MEDICARE: NHCC MEDICAL ASSOCIATES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician
2	207Q00000X	Family Medicine Physician
3	207RR0500X	Rheumatology Physician
4	2084N0400X	Neurology Physician
5	2084P0800X	Psychiatry Physician
6	2086S0105X	Surgery of the Hand (Surgery) Physician
7	207RI0200X	Infectious Disease Physician
8	208M00000X	Hospitalist Physician
9	207RC0200X	Critical Care Medicine (Internal Medicine) Physician
10	363LF0000X	Family Nurse Practitioner
11	207N00000X	Dermatology Physician
12	207RP1001X	Pulmonary Disease Physician
13	2084N0600X	Clinical Neurophysiology Physician		RI
14	103T00000X	Psychologist	PS00223	RI
15	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598762304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NHCC MEDICAL ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	275 BROADWAY
Second Line	:
City	:	NEWPORT
State	:	RI
Zip	:	02840-2612
Country	:	US
Telephone Number	:	401-845-1472
Fax Number	:	401-846-4874

Provider Business Practice Location Address
First Line	:	275 BROADWAY
Second Line	:	UNIT 2
City	:	NEWPORT
State	:	RI
Zip	:	02840-2612
Country	:	US
Telephone Number	:	401-845-1472
Fax Number	:	401-846-4874

Authorized Official
Title or Position	:	CFO- DIRECTOR OF FINANCE
Name	:	FRANK BYRNE
Credential	:
Telephone Number	:	401-845-1545

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	01/21/2011

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Directions to “NHCC MEDICAL ASSOCIATES, INC. ” Practice Location

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