EMERGENCY MEDICINE PHYSICIANS OF PROVIDENCE COUNTY, LLC
NPI 1194764019
Emergency Medicine in Providence, RI

Active since June 06, 2006
825 CHALKSTONE AVE, PROVIDENCE, RI 02908(330) 493-4443(330) 493-8677 Get Directions Write a Review

NPPES record last updated: October 23, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Emergency Medicine

About EMERGENCY MEDICINE PHYSICIANS OF PROVIDENCE COUNTY, LLC

This page provides the complete NPI Profile along with additional information for Emergency Medicine Physicians Of Providence County, Llc, a provider established in Providence, Rhode Island operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1194764019 assigned on June 2006. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is David C Packo Md (President)

NPI
1194764019 Verify this NPI
Provider Name
EMERGENCY MEDICINE PHYSICIANS OF PROVIDENCE COUNTY, LLC
Entity Type
Organization
Location Address
825 CHALKSTONE AVE PROVIDENCE, RI 02908
Location Phone
(330) 493-4443
Location Fax
(330) 493-8677
Mailing Address
4535 DRESSLER RD NW CANTON, OH 44718
Mailing Phone
(330) 493-4443
Mailing Fax
(330) 493-8677
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-06-2006
Last Update Date
10-23-2007
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID C PACKO MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(330) 493-4443

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
9003126MEDICAID (05)RI 

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Other Providers at the Same Location


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

Internal Medicine (Hematology & Oncology)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Physician Assistant (Surgical)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Specialist
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Social Worker (Clinical)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Nutritionist
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Radiology (Vascular & Interventional Radiology)
825 CHALKSTONE AVE, ROGER WILLIAMS MEDICAL CENTER - IMAGING NETWORK OF RI
PROVIDENCE, RI 02908
Radiology (Diagnostic Radiology)
825 CHALKSTONE AVE, ROGERS WILLIAMS MEDICAL CENTER
PROVIDENCE, RI 02908
Internal Medicine (Addiction Medicine)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Physician Assistant
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Internal Medicine (Hematology & Oncology)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Specialist
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Nutritionist
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Counselor (Addiction (Substance Use Disorder))
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Pathology (Anatomic Pathology & Clinical Pathology)
825 CHALKSTONE AVE, ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT
PROVIDENCE, RI 02908
Pathology (Anatomic Pathology)
825 CHALKSTONE AVE, ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT.
PROVIDENCE, RI 02908
Pathology (Anatomic Pathology & Clinical Pathology)
825 CHALKSTONE AVE, ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT
PROVIDENCE, RI 02908
Pathology (Anatomic Pathology & Clinical Pathology)
825 CHALKSTONE AVE, ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT
PROVIDENCE, RI 02908
Pathology (Dermatopathology)
825 CHALKSTONE AVE, PATHOLOGY DEPARTMENT
PROVIDENCE, RI 02908
Anesthesiology
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Pathology (Anatomic Pathology)
825 CHALKSTONE AVE, ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT.
PROVIDENCE, RI 02908

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194764019, enumerated as an "organization" on June 06, 2006.

The provider is located at 825 CHALKSTONE AVE PROVIDENCE, RI 02908 and the phone number is (330) 493-4443.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.