Provider Demographics
NPI:1619908621
Name:ROMPF, PATRICIA A (MD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:A
Last Name:ROMPF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 PLAIN STREET
Mailing Address - Street 2:SUITE 301
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905
Mailing Address - Country:US
Mailing Address - Phone:401-421-4186
Mailing Address - Fax:401-273-4820
Practice Address - Street 1:235 PLAIN STREET
Practice Address - Street 2:SUITE 301
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905
Practice Address - Country:US
Practice Address - Phone:401-421-4186
Practice Address - Fax:401-273-4820
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD043432080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
R000391OtherTRICARE
00000025915OtherBOSTON MEDICAL CENTER
000000001738OtherNEIGHBORHOOD
11093895OtherUNICARE
2290926OtherAETNA US HEALTHCARE
001928OtherBLUE CHIP
0336603003OtherCIGNA
718378OtherTUFTS
3045RIHOtherHARVARD PILGRIM
13671OtherRI BCBS
7500666OtherUNITED HEALTH CARE
RI9001367Medicaid
MD04343OtherRI MEDICAL LICENSE
MD04343OtherRI MEDICAL LICENSE
3045RIHOtherHARVARD PILGRIM