Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD11848 | RI |
Y | 2080P0204X | Pediatric Emergency Doctor | MD11848 | RI |
NPI | 1184734659 |
---|---|
Provider Name | Sarah Case |
First Address | Providence, RI 02940-9484 |
Second Address | Providence, RI 02903-4923 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 20/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0070588631 | RI MEDICARE (01) | RI |
07012011 | TUFTS HEALTH PLAN (01) | MA |
07012011 | UNITED HEALTHCARE (01) | RI |
07232011 | BCBSRI (01) | RI |
08112011 | NHPRI (01) | RI |
110074069/A | (05) | MA |
1184734659 | NPI (01) | RI |
7058863 | (05) | RI |
939025129 | RI MEDICARE GROUP NUMBER (01) | RI |
D02083 | (02) | RI |