FEDERAL HILL PODIATRY GROUP; NPI #1194846154

Contact Information

FEDERAL HILL PODIATRY GROUP

201 BROADWAY
PROVIDENCE, RI 02903-3015

Phone: 401-421-9167
Fax: 401-421-9193
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for FEDERAL HILL PODIATRY GROUP

NPI # 1194846154

LBN Legal business name FEDERAL HILL PODIATRY GROUP

Authorized official JOSEPH DECESARE - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/03/2007

Last updated 08/26/2011 - About 15 years ago

Identifiers

RI	License #	DPM00240
RI	Medicaid	FH00185
RI	Other	0005779230	AETNA
RI	Other	ZE5188	BCBS MA GROUP ID
RI	Other	0000007071	BCBS RI GROUP ID
RI	Other	400515	BLUECHIP J A DECESARE DP
RI	Other	0000007071	BLUECHIP GROUP ID
RI	Other	0137515002	CIGNA
RI	Other	0357	NEIGHBORHOOD GROUP ID
RI	Other	2343	NEIGHBORHOOD J A DECESARE
RI	Other	R003457	WPS TRICARE GROUP ID

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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FEDERAL HILL PODIATRY GROUP

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for FEDERAL HILL PODIATRY GROUP

Reviews for FEDERAL HILL PODIATRY GROUP