Provider Demographics
NPI:1275528903
Name:SINGER, IRA JOEL (MD)
Entity Type:Individual
Prefix:
First Name:IRA
Middle Name:JOEL
Last Name:SINGER
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 1:725 RESERVOIR AVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-4448
Mailing Address - Country:US
Mailing Address - Phone:401-944-3800
Mailing Address - Fax:401-944-1342
Practice Address - Street 1:2138 MENDON RD
Practice Address - Street 2:NUMBER 302
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-3834
Practice Address - Country:US
Practice Address - Phone:401-334-1060
Practice Address - Fax:401-334-1063
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2010-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD06412207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1275528903OtherDURABLE
32619-3OtherRI BLUE CROSS
RI002112OtherCHIP
RI7002519Medicaid
B74097Medicare UPIN
RI007006540Medicare PIN