Provider Demographics
NPI:1497158844
Name:PPC, INC.
Entity Type:Organization
Organization Name:PPC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:S
Authorized Official - Last Name:OTTIANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-459-6168
Mailing Address - Street 1:910 DOUGLAS PIKE
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02917-1874
Mailing Address - Country:US
Mailing Address - Phone:401-459-6059
Mailing Address - Fax:401-427-6778
Practice Address - Street 1:910 DOUGLAS PIKE
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02917-1874
Practice Address - Country:US
Practice Address - Phone:401-459-6059
Practice Address - Fax:401-427-6778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-30
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty