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ROGER WILLIAMS MEDICAL CENTER
NPI 1326463548
Internal Medicine - Cardiovascular Disease in Providence, RI

Active since February 25, 2014CLIA 41D2283590 · Waiver
825 CHALKSTONE AVE, PROVIDENCE, RI 02908(401) 456-2000(401) 456-2029 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Roger Williams Medical Center NPPES

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

ROGER WILLIAMS MEDICAL CENTER (NPI 1326463548) is a healthcare organization registered as a cardiovascular disease in Providence, Rhode Island and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through June 8, 2027 and lists Robert Jon Elders, Secretary, as its authorized official.

NPPES Registry Identity

NPI1326463548
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePROSPECT CHARTERCARE RWMC, LLC
Location Address825 CHALKSTONE AVEProvidence, RI 02908-4728
Mailing Address825 Chalkstone AveProvidence, RI 02908-4728 · (401) 456-2000 · Fax (401) 456-2029
Phone(401) 456-2000
Fax(401) 456-2029
Organization SubpartNo
Authorized OfficialRobert Jon EldersSecretary · (714) 788-1249
Enumeration DateFebruary 25, 2014
Last NPPES UpdateJanuary 11, 2021
NPPES CertifiedJanuary 11, 2021
✔ NPI 1326463548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An 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.
Also ListedNutritionistTaxonomy 133N00000X
825 CHALKSTONE AVE, Providence, RI 02908
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Other Names 1

Doing Business AsRoger Williams Medical Center

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D2283590

Prospect Chartercare Rwmc LLC Dba Rwmc Cancer Center · Providence, RI
Active · expires Jun 8, 2027
CLIA Number41D2283590
Laboratory TypeCancer Center
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorMirela Stancu
Laboratory Phone(401) 456-3180
Laboratory LocationProspect Chartercare Rwmc LLC Dba Rwmc Cancer Center50 Maude St, Providence, RI 02908
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. TODD F ROBERTS MD
Internal Medicine (Medical Oncology)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-6565
DR. WILLIAM ARTHUR YELLE MD
Anesthesiology
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-2000
IAN M JACOBSON MD
Emergency Medicine
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (330) 493-4443
PROSPECT CHARTERCARE RWMC, LLC
General Acute Care Hospital
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-2000
N PETER LIBBEY M.D.
Pathology (Anatomic Pathology)
825 CHALKSTONE AVE, ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT.
PROVIDENCE, RI 02908
Providence County (401) 456-2162
GARRICK MARK WHITLOCK CRNA
Nurse Anesthetist, Certified Registered
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-2000
VALERIE JEAN ZUERCHER
Social Worker (Clinical)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-4807
MAIMOONA HAROON MEMON MD
Internal Medicine
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-2000

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 Prospect Chartercare Rwmc, LLC's NPI number?

The NPI number for Prospect Chartercare Rwmc, LLC is 1326463548. It was assigned to this organization in the NPPES registry on February 25, 2014. The provider is doing business as Roger Williams Medical Center.

Where is Prospect Chartercare Rwmc, LLC located?

Prospect Chartercare Rwmc, LLC is located at 825 Chalkstone Ave, Providence, RI 02908. The listed phone number is (401) 456-2000.

What is Prospect Chartercare Rwmc, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Prospect Chartercare Rwmc, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D2283590) is associated with this NPI, valid through June 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prospect Chartercare Rwmc, LLC was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.