1619908621 NPI number — PATRICIA A ROMPF MD

Table of content: PATRICIA A ROMPF MD (NPI 1619908621)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619908621 NPI number — PATRICIA A ROMPF MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROMPF
Provider First Name:
PATRICIA
Provider Middle Name:
A
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

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:
1619908621
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
235 PLAIN STREET
Provider Second Line Business Mailing Address:
SUITE 301
Provider Business Mailing Address City Name:
PROVIDENCE
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02905
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-421-4186
Provider Business Mailing Address Fax Number:
401-273-4820

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
235 PLAIN STREET
Provider Second Line Business Practice Location Address:
SUITE 301
Provider Business Practice Location Address City Name:
PROVIDENCE
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02905
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-421-4186
Provider Business Practice Location Address Fax Number:
401-273-4820
Provider Enumeration Date:
07/06/2006

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: 2080P0202X , with the licence number:  MD04343 , 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: R000391 . This is a "TRICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00000025915 . This is a "BOSTON MEDICAL CENTER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000001738 . This is a "NEIGHBORHOOD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 11093895 . This is a "UNICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2290926 . This is a "AETNA US HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 001928 . This is a "BLUE CHIP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0336603003 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 718378 . This is a "TUFTS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3045RIH . This is a "HARVARD PILGRIM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 13671 . This is a "RI BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7500666 . This is a "UNITED HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9001367 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: MD04343 . This is a "RI MEDICAL LICENSE" identifier . This identifiers is of the category "OTHER".




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