Organization · Type 2 NPI

The Miriam Hospital

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Providence, RI

NPI number 1477700243 Active

Practice location

164 Summit Ave
Providence, RI 02906-2853

Call (401) 793-4569 Map

Fax (401) 793-4008

Mailing address

15 La Salle Sq
Providence, RI 02903-1814

Specialties and licenses

Taxonomy	Code	License
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary	208G00000X	None listed

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of th…

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NPI record

NPI: 1477700243
Entity type: Organization (Type 2)
Issued: Aug 25, 2008
Last updated: Dec 11, 2025
Status: Active
Subpart: Yes of The Miriam Hospital

Other names

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The Miriam Hospital Cardiovascular Surgery Division · doing business as
The Miriam Hospital Cardiovascular Surgery Division · doing business as

Authorized official

Eva Greenwood
SVP, Finance
(401) 444-7914

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1477700243

The Miriam Hospital's National Provider Identifier is 1477700243, issued on Aug 25, 2008. The primary taxonomy on file is Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X), and the practice location is in Providence, RI. The record was last updated on Dec 11, 2025.