Provider Demographics
NPI:1598341067
Name:VMD PRIMARY PROVIDERS OF RHODE ISLAND PC
Entity Type:Organization
Organization Name:VMD PRIMARY PROVIDERS OF RHODE ISLAND PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR REV CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:I
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-844-2271
Mailing Address - Street 1:PO BOX 360293
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-6267
Mailing Address - Country:US
Mailing Address - Phone:401-753-0500
Mailing Address - Fax:401-475-1400
Practice Address - Street 1:982 TIOGUE AVE
Practice Address - Street 2:
Practice Address - City:COVENTRY
Practice Address - State:RI
Practice Address - Zip Code:02816-6116
Practice Address - Country:US
Practice Address - Phone:401-821-6800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VMD PRIMARY PROVIDERS OF RHODE ISLAND, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-23
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty