Provider Demographics
NPI:1700028487
Name:U.S. MEDGROUP, P.A.
Entity Type:Organization
Organization Name:U.S. MEDGROUP, P.A.
Other - Org Name:U.S. MEDGROUP, P.A.,CO.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR VP / CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSETT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:972-364-8000
Mailing Address - Street 1:PO BOX 20127
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-0942
Mailing Address - Country:US
Mailing Address - Phone:800-285-9795
Mailing Address - Fax:
Practice Address - Street 1:5080 SPECTRUM DR
Practice Address - Street 2:SUITE 1200 WEST TOWER
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-4648
Practice Address - Country:US
Practice Address - Phone:800-232-3550
Practice Address - Fax:214-775-4515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-27
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service