Provider Demographics
NPI:1265438709
Name:FINGLETON, JAMES G (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:G
Last Name:FINGLETON
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 1:2 DUDLEY ST
Mailing Address - Street 2:STE 360
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905-3248
Mailing Address - Country:US
Mailing Address - Phone:508-973-2000
Mailing Address - Fax:508-973-2001
Practice Address - Street 1:300 HANOVER ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-5451
Practice Address - Country:US
Practice Address - Phone:508-679-7774
Practice Address - Fax:508-679-7724
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI8467208G00000X
RIMD08467208G00000X
MA202874208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI18-00129OtherUNITED HEALTH PLANS NE
RI0000000783OtherBLUE CROSS & BLUE SHIELD
MA110053439AMedicaid
RI203600OtherRI BLUE CHIP
RI7003416Medicaid
MA110053439AMedicaid
7061043Medicare PIN
RI0000000783OtherBLUE CROSS & BLUE SHIELD
RIB41236Medicare UPIN