Provider Demographics
NPI:1578553509
Name:NOEL, ARTHUR W (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:W
Last Name:NOEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 METRO CENTER BLVD STE 2000
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-1785
Mailing Address - Country:US
Mailing Address - Phone:401-432-2520
Mailing Address - Fax:401-453-8220
Practice Address - Street 1:125 METRO CENTER BLVD STE 2000
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-1785
Practice Address - Country:US
Practice Address - Phone:401-432-2520
Practice Address - Fax:401-453-8220
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD066422085R0202X
MA765682085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
3202232OtherHEALTHY START
000000001988OtherNHPRI
006642OtherBLUE SHIELD
3202232OtherMASS MEDICAID
003123049OtherCT MED ASSISTANCE
1600203OtherUNITED HEALTH PLANS
RI7000703OtherMEDICAL ASSISTANCE
720027103OtherCIGNA
004295OtherBLUE CHIP
007006232OtherHOSPITAL PIN
06642OtherTUFTS
240606OtherRIHPILGRIM
300083893OtherRAILROAD MEDICARE
004295OtherBLUE CHIP
007006223Medicare ID - Type Unspecified