Provider Demographics
NPI:1558324764
Name:VOLPE, JOHN A (DPM)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:A
Last Name:VOLPE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1672 CRANSTON ST
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-5037
Mailing Address - Country:US
Mailing Address - Phone:401-946-9933
Mailing Address - Fax:401-464-4493
Practice Address - Street 1:1672 CRANSTON ST
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-5037
Practice Address - Country:US
Practice Address - Phone:401-946-9933
Practice Address - Fax:401-464-4493
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDPM00268213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI7621OtherBLUE CROSS BLUE SHIELD
RI9007073Medicaid
RI203807OtherBLUE CHIP
RI480033703Medicare PIN
RI203807OtherBLUE CHIP
RI007004869Medicare PIN
RI9007073Medicaid