Provider Demographics
NPI:1548240971
Name:HIGHT, ELLEN B (MD)
Entity Type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:B
Last Name:HIGHT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1351 S COUNTY TRL
Mailing Address - Street 2:SUITE 301
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-5079
Mailing Address - Country:US
Mailing Address - Phone:401-398-0860
Mailing Address - Fax:401-398-0861
Practice Address - Street 1:1351 S COUNTY TRL
Practice Address - Street 2:SUITE 301
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-5079
Practice Address - Country:US
Practice Address - Phone:401-398-0860
Practice Address - Fax:401-398-0861
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIMD08779207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI7004365Medicaid
RI7004365Medicaid