1427216324 NPI number — MARK APPLEMAN, MD

Table of content: (NPI 1427216324)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427216324 NPI number — MARK APPLEMAN, MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARK APPLEMAN, MD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427216324
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/28/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
227 HILLTOP DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORTSMOUTH
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02871-1207
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-683-3591
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11 FRIENDSHIP ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWPORT
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02840-2209
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-846-6400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/28/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
APPLEMAN
Authorized Official First Name:
MARK
Authorized Official Middle Name:
EDWARD
Authorized Official Title or Position:
PHYSICIAN/OWNER
Authorized Official Telephone Number:
401-683-3591

Provider Taxonomy Codes

  • Taxonomy code: 207RI0200X , with the licence number:  5502 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 9002123 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 201270 . This is a "RI BLUE CHIP" identifier . This identifiers is of the category "OTHER".