Provider Demographics
NPI:1245797638
Name:ORTHOPEDICS RHODE ISLAND, INC
Entity Type:Organization
Organization Name:ORTHOPEDICS RHODE ISLAND, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-913-5012
Mailing Address - Street 1:41 SANDERSON RD STE 105
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02917-2611
Mailing Address - Country:US
Mailing Address - Phone:401-349-3990
Mailing Address - Fax:401-738-3777
Practice Address - Street 1:41 SANDERSON RD STE 105
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02917-2611
Practice Address - Country:US
Practice Address - Phone:401-349-3990
Practice Address - Fax:401-738-3777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies