National Provider Identifier Database

PROVIDENCE SURGICAL CARE GROUP INCORPORATED
Vascular Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.


Contact Information

PROVIDENCE SURGICAL CARE GROUP, INCORPORATED
486 SILVER SPRING ST
PROVIDENCE, RI02904-1556
Phone: 401-454-0690
Fax: 401-454-4281
Website:
Specialty Taxonomy Code
* Vascular Surgery 2086S0129X
Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X

* Indicates primary specialty

NPI Profile & details for PROVIDENCE SURGICAL CARE GROUP, INCORPORATED

NPI Number 1437232543
Legal business name
LBN
PROVIDENCE SURGICAL CARE GROUP, INCORPORATED
Authorized official ROBERT PATTERSON - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/23/2006
Last updated 12/23/2011 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • RI Medicaid: PS32025

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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