1871577999 NPI number — PETER B RINTELS M.D.

Table of content: PETER B RINTELS M.D. (NPI 1871577999)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871577999 NPI number — PETER B RINTELS M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RINTELS
Provider First Name:
PETER
Provider Middle Name:
B
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

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:
1871577999
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/03/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1220 PONTIAC AVE
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
CRANSTON
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02920-4456
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-943-4660
Provider Business Mailing Address Fax Number:
401-943-0240

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1220 PONTIAC AVE
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
CRANSTON
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02920-4456
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-943-4660
Provider Business Practice Location Address Fax Number:
401-943-0240
Provider Enumeration Date:
12/01/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RH0000X , with the licence number:  07910 , 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: 201815 . This is a "BLUECHIP" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 720083801 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0000002589 . This is a "BC&BS OF RI" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 007910 . This is a "TUFTS HP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 27489 . This is a "NEIGHBORHOOD HP" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 9264RIH . This is a "HARVARD PILGIRIM HP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 30-00357 . This is a "UHC OF NE, INC" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 7009067 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2946578 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".




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