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PROVIDENCE UROLOGY, LLC
NPI 1255386868
Urology in Providence, RI

Active since May 23, 2006
1165 N MAIN ST, SUITE 200, PROVIDENCE, RI 02904(401) 521-4333(401) 521-4377 Get Directions Write a Review

NPPES record last updated: December 6, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Providence Urology, Llc NPPES

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

PROVIDENCE UROLOGY, LLC (NPI 1255386868) is a healthcare organization registered as an urology in Providence, Rhode Island and active in the NPI registry since May 2006. The organization lists Harry M Iannotti, President, as its authorized official.

NPPES Registry Identity

NPI1255386868
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NamePROVIDENCE UROLOGY, LLC
Location Address1165 N MAIN ST, SUITE 200Providence, RI 02904-5740
Mailing Address340 Main St, Ste. 670Worcester, MA 01608-1604 · (508) 754-3566 · Fax (508) 438-6368
Phone(401) 521-4333
Fax(401) 521-4377
Organization SubpartNo
Authorized OfficialHarry M IannottiPresident · (401) 521-4333
Enumeration DateMay 23, 2006
Last NPPES UpdateDecember 6, 2011
✔ NPI 1255386868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1165 N MAIN ST, Providence, RI 02904
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Other Identifiers 2

Medicare ID-Type Unspecified709003351RI
Medicaid9003351RI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

JEWISH COLLABORATIVE SERVICES
Counselor (Mental Health)
1165 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 331-1244
HARRY MICHAEL IANNOTTI MD
Urology
1165 N MAIN ST, STE. 200
PROVIDENCE, RI 02904
Providence County (401) 521-4333
SARAH HANNAGAN MSW
Social Worker (Clinical)
1165 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 331-1244
KATHRYN GIARDINO LCSW
Social Worker (Clinical)
1165 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 331-1244
MS. JOAN TERESA MANCUSO MA
Counselor (Mental Health)
1165 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 331-1244
MRS. TARA MARIE WATKINS LICSW
Social Worker (Clinical)
1165 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 527-7772
JEWISH FAMILY SERVICES
Counselor (Mental Health)
1165 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 331-1244
HEATHER SHORE LMHC-A
Counselor (Mental Health)
1165 N MAIN ST
PROVIDENCE, RI 02904
Providence County (401) 331-1244

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 Providence Urology, LLC's NPI number?

The NPI number for Providence Urology, LLC is 1255386868. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Providence Urology, LLC located?

Providence Urology, LLC is located at 1165 N Main St Suite 200, Providence, RI 02904. The listed phone number is (401) 521-4333.

What is Providence Urology, LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Providence Urology, LLC was last updated on December 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.