WICKFORD FAMILY MEDICINE LLC
NPI 1104124734
Family Medicine in North Kingstown, RI
About Wickford Family Medicine Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WICKFORD FAMILY MEDICINE LLC (NPI 1104124734) is a healthcare organization registered as a family medicine in North Kingstown, Rhode Island and active in the NPI registry since March 2011. The organization lists John Machata, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORTH KINGSTOWN, RI 02852
NORTH KINGTOWN, RI 02852
NORTH KINGSTOWN, RI 02852
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Wickford Family Medicine LLC's NPI number?
The NPI number for Wickford Family Medicine LLC is 1104124734. It was assigned to this organization in the NPPES registry on March 7, 2011.
Where is Wickford Family Medicine LLC located?
Wickford Family Medicine LLC is located at 320 Phillips St Suite 204, North Kingstown, RI 02852. The listed phone number is (401) 450-2111.
What is Wickford Family Medicine LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
When was this NPI record last updated?
The NPPES record for Wickford Family Medicine LLC was last updated on March 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Wickford Family Medicine Llc · NPI 1104124734
Family Medicine organization in North Kingstown, Rhode Island. Organization record, active in the CMS NPPES registry since March 7, 2011.
## Identity
- **NPI:** 1104124734 (Entity type: Organization)
- **Enumerated:** March 7, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** John Machata, MEDICAL DIRECTOR
## Practice location
- **Address:** 320 PHILLIPS ST, SUITE 204, North Kingstown, RI 02852-5149
- **Phone:** (401) 450-2111
## Record status
- **NPPES last updated:** March 7, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1104124734) · Data from the CMS NPPES public registry.