Provider Demographics
NPI:1518268697
Name:JOSEPH P. GIANCASPRO, M.D., LTD
Entity Type:Organization
Organization Name:JOSEPH P. GIANCASPRO, M.D., LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:P
Authorized Official - Last Name:GIANCASPRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-596-2230
Mailing Address - Street 1:81 BEACH ST
Mailing Address - Street 2:
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-2769
Mailing Address - Country:US
Mailing Address - Phone:401-596-2230
Mailing Address - Fax:401-596-2401
Practice Address - Street 1:81 BEACH ST
Practice Address - Street 2:
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-2769
Practice Address - Country:US
Practice Address - Phone:401-596-2230
Practice Address - Fax:401-596-2401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-05
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR0229OtherHEALTH NET
RIJO84831Medicaid
710059201OtherCIGNA
0004520533OtherAETNA
RI135-1OtherBCBS OF RI
CT008025533Medicaid
CT01-0005813RI01OtherANTHEM BCBS
01-00169OtherUNITED HEALTHCARE
797828OtherCONNECTICARE
9189365OtherPCHS (PRIVATE HEALTHCARE SYSTEMS)
P402612OtherOXFORD
RI000877OtherBLUE CHIP (BCBSRI)
OR0229OtherHEALTH NET
C90743Medicare UPIN