Organization · Type 2 NPI

Provident Pain and Wellness Clinic

Pain Medicine (Physical Medicine & Rehabilitation) Physician · Newport, RI

NPI number 1639404635 Active

Practice location

19 Friendship St, Suite 160
Newport, RI 02840-2200

Mailing address

75 Newman Ave, Suite 100
Rumford, RI 02916-3603

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000X10503 (RI)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Primary 2081P2900X10503 (RI)
Physical Therapist 225100000XPT01902 (RI)

Pain Medicine (Physical Medicine & Rehabilitation) Physician: A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

28 other providers at this address

About NPI 1639404635

Provident Pain and Wellness Clinic's National Provider Identifier is 1639404635, issued on Oct 8, 2009. The primary taxonomy on file is Pain Medicine (Physical Medicine & Rehabilitation) Physician (2081P2900X), and the practice location is in Newport, RI. The record was last updated on Mar 28, 2011.