UNIVERSITY MEDICAL GROUP, INC
NPI 1255367942
Clinic/Center - Multi-Specialty in Providence, RI

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

Active since June 24, 2006

50 MAUDE ST, PROVIDENCE, RI 02908(401) 456-5368 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About University Medical Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNIVERSITY MEDICAL GROUP, INC (NPI 1255367942) is a healthcare organization registered as a multi-specialty in Providence, Rhode Island and active in the NPI registry since June 2006. The organization lists Tracy Wallace, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255367942

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameUNIVERSITY MEDICAL GROUP, INC

Location Address50 MAUDE STProvidence, RI 02908-4325

Mailing Address825 Chalkstone AveProvidence, RI 02908-4728 · (401) 456-2717

Phone(401) 456-5368

Organization SubpartNo

Authorized OfficialTracy WallaceCeo · (401) 456-2717

Enumeration DateJune 24, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1255367942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

50 MAUDE ST, Providence, RI 02908

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Other Identifiers 1

MedicaidUM 24173RI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARTHA W FELDMANN NP

Nurse Practitioner