Provider Demographics
NPI:1043294630
Name:STEINMETZ, GREGORY (MD)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:
Last Name:STEINMETZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:857 POST RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02888-3360
Mailing Address - Country:US
Mailing Address - Phone:401-467-3115
Mailing Address - Fax:401-785-8468
Practice Address - Street 1:857 POST RD
Practice Address - Street 2:ASSOCIATES IN PRIMARY CARE
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-3360
Practice Address - Country:US
Practice Address - Phone:401-467-3115
Practice Address - Fax:401-785-8468
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD11053207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI7056085Medicaid
RIH38980Medicare UPIN
RI007058217Medicare ID - Type UnspecifiedMEDICARE