MEDICARE: DR. VIRGINIA SCHMIDT PARKER MD

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	207RR0500X	Rheumatology Physician	5769	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2390-6	OTHER	RI	BLUECROSSBLUESHIELD

General Provider Information

NPI Number	:	1871590737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIRGINIA SCHMIDT PARKER MD

Provider Business Mailing Address
First Line	:	911 FRENCHTOWN RD
Second Line	:
City	:	EAST GREENWICH
State	:	RI
Zip	:	02818-1511
Country	:	US
Telephone Number	:	401-885-3039
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 TOLL GATE RD
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-4416
Country	:	US
Telephone Number	:	401-738-2607
Fax Number	:	401-738-7987

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2005
Last Update Date	:	07/08/2007

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