Provider Demographics
NPI:1417014432
Name:NISBET WOMEN'S CARE, INC.
Entity Type:Organization
Organization Name:NISBET WOMEN'S CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:NISBET
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:401-738-8800
Mailing Address - Street 1:390 TOLL GATE ROAD #201
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886
Mailing Address - Country:US
Mailing Address - Phone:401-738-8800
Mailing Address - Fax:401-738-7670
Practice Address - Street 1:390 TOLL GATE ROAD #201
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886
Practice Address - Country:US
Practice Address - Phone:401-738-8800
Practice Address - Fax:401-738-7670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI169020051Medicare PIN
RI169020101Medicare PIN