THOMAS FAIRWEATHER CRAIN MD NPI 1003871856

Internal Medicine (Cardiovascular Disease) in Providence, RI

About THOMAS CRAIN

Thomas Crain is a provider in Providence, RI with more than 20 years of experience. The NPI number assigned to this provider is 1003871856. The practitioner's primary taxonomy code is Internal Medicine (207RC0000X). The provider is registered as an individual and their NPI record was last updated 7 years ago. Thomas Crain is registered with Medicare and accepts claims assignment.

NPI1003871856 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name THOMAS FAIRWEATHER CRAIN MD
Provider Location Address164 SUMMIT AVE PROVIDENCE, RI 02906 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address164 SUMMIT AVE PROVIDENCE, RI 02906 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameGEORGETOWN UNIVERSITY OF MEDICINE
Graduation Year1998
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-17-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date12-20-2010 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

THOMAS FAIRWEATHER CRAIN MD
164 SUMMIT AVE
PROVIDENCE, RI
ZIP 02906
Phone: (401) 793-4630
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Mailing Address

THOMAS FAIRWEATHER CRAIN MD
164 SUMMIT AVE
PROVIDENCE, RI
ZIP 02906
Phone: (401) 793-4630

Primary Taxonomy

Taxonomy Code207RC0000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationCardiovascular Disease
License No.MD11407
License StateRI
Taxonomy DescriptionAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
7056681MEDICARE ID-TYPE UNSPECIFIED (04)
B36780MEDICARE UPIN (02)

Map Location


THOMAS FAIRWEATHER CRAIN MD address is 164 SUMMIT AVE PROVIDENCE, RI 02906

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003894825 JAMES ATKINSON MD
Individual
Internal Medicine164 SUMMIT AVE
PROVIDENCE, RI 02906
(401) 793-4500
1023096278 JEFFREY M BUROCK MD
Individual
Psychiatry & Neurology (Psychiatry)164 SUMMIT AVE
PROVIDENCE, RI 02906
(401) 793-4500
1053399105 KWAME DAPAAH-AFRIYIE MD
Individual
Internal Medicine164 SUMMIT AVE
PROVIDENCE, RI 02906
(401) 793-4500
1104804095 PAULA MCKENNA CRNA
Individual
Nurse Anesthetist, Certified Registered164 SUMMIT AVE
PROVIDENCE, RI 02906
(401) 793-4574
1144208299 EHAB G. DAOUD MD
Individual
Internal Medicine164 SUMMIT AVE
PROVIDENCE, RI 02906
(401) 793-4500
1215915228 DEBBIE MENDELSOHN RN
Individual
Registered Nurse (Psych/Mental Health, Adult)164 SUMMIT AVE
PROVIDENCE, RI 02906
(401) 793-4500
1225016371 A. GERSON GREENBURG MD
Individual
Surgery164 SUMMIT AVE
PROVIDENCE, RI 02906
(401) 793-4500
1245210418DR. R. WILLIAM CORWIN M.D.
Individual
Internal Medicine (Pulmonary Disease)164 SUMMIT AVE
PROVIDENCE, RI 02906
(401) 793-2104
1255319141 CAROLINE T TRIFARI CRNA
Individual
Nurse Anesthetist, Certified Registered164 SUMMIT AVE
PROVIDENCE, RI 02906
(781) 407-7713
1306839428DR. ANDREW A. PROOS MD
Individual
Anesthesiology164 SUMMIT AVE
PROVIDENCE, RI 02906
(401) 793-4574
1336126226 JOHN DUHAMEL CRNA
Individual
Nurse Anesthetist, Certified Registered164 SUMMIT AVE
PROVIDENCE, RI 02906
(401) 793-4574
1346228194 DANIEL MCDONALD CRNA
Individual
Nurse Anesthetist, Certified Registered164 SUMMIT AVE
PROVIDENCE, RI 02906
(401) 793-4574
1477531531 GAYLE J WEAVER MD
Individual
Internal Medicine164 SUMMIT AVE
PROVIDENCE, RI 02906
(401) 793-4500
1558369512 JOSEPHINE SALHAB PAC
Individual
Physician Assistant (Surgical Technologist)164 SUMMIT AVE RM C70
PROVIDENCE, RI 02906
(401) 793-3922
1578524948 DAVID J. DEARY P.A.
Individual
Physician Assistant164 SUMMIT AVE
PROVIDENCE, RI 02906
(401) 793-2500
1629041074DR. ELEFTHERIOS MYLONAKIS MD PHD
Individual
Internal Medicine (Infectious Disease)164 SUMMIT AVE
PROVIDENCE, RI 02906
(401) 793-2928
1649258708 SYLVIA WEBER PCNS, RN
Individual
Registered Nurse (Psych/Mental Health, Adult)164 SUMMIT AVE
PROVIDENCE, RI 02906
(401) 793-4500
1780662833 ACHAL DHUPA MD
Individual
Internal Medicine (Critical Care Medicine)164 SUMMIT AVE
PROVIDENCE, RI 02906
(401) 793-4500
1982681920 ABIGAIL D BAKER CRNA
Individual
Nurse Anesthetist, Certified Registered164 SUMMIT AVE
PROVIDENCE, RI 02906
(401) 793-4574
1992769988 CAROL MOWATT CNS
Individual
Registered Nurse (Psych/Mental Health, Adult)164 SUMMIT AVE
PROVIDENCE, RI 02906
(401) 793-4500