Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | MD09773 | RI |
NPI | 1114985041 |
---|---|
Provider Name | Dr. Michael James Belanger |
First Address | Johnston, RI 02919-3228 |
Second Address | Johnston, RI 02919-3228 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2006 |
Last Update Date | 08/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009773 | TUFTS HEALTH PLANS (01) | MA |
050397249 | FIRSTHEALTH/COVENTRY/HCVM (01) | |
050397249 | PEQUOT PLUS HEALTH PLANS (01) | |
050397249 | UNITEDHEALTHCARE (01) | |
050397249 | WORKERS COMPENSATION (01) | |
103714900 | U.S. DEPT. OF LABOR-WC (01) | |
29556 | BC BS OF RI (01) | RI |
3849 | NEIGHBORHOOD HEALTH PLANS (01) | RI |
402575 | BLUECHIP OF RI (01) | RI |
7006586 | (05) | RI |
7104180 | AETNA (01) | |
AA33827 | HARVARD PILGRIM (01) | MA |
CD1829 | RAILROAD MEDICARE (01) | |
G75542 | (02) | RI |