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LANDMARK MEDICAL OF RHODE ISLAND PC
NPI 1548803729
General Practice in Warwick, RI

Active since October 21, 2019CLIA 30D2194500 · Waiver
475 KILVERT ST STE 310, WARWICK, RI 02886(617) 420-5316 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 18, 2025, Oct 21, 2019 (2 updates tracked since 2019).

About Landmark Medical Of Rhode Island Pc NPPES

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

LANDMARK MEDICAL OF RHODE ISLAND PC (NPI 1548803729) is a healthcare organization registered as a general practice in Warwick, Rhode Island and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists Ronald Shumacher, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1548803729
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLANDMARK MEDICAL OF RHODE ISLAND PC
Location Address475 KILVERT ST STE 310Warwick, RI 02886-1360
Mailing Address7755 Center Ave Ste 630Huntington Beach, CA 92647-9152 · (657) 400-5180
Phone(617) 420-5316
Organization SubpartNo
Authorized OfficialRonald ShumacherChief Medical Officer · (657) 400-5180
Enumeration DateOctober 21, 2019
Last NPPES UpdateMarch 18, 20252 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
✔ NPI 1548803729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
475 KILVERT ST STE 310, Warwick, RI 02886
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 30D2194500

Landmark Medical Of New Hampshire · Nashua, NH
Active · expires Sep 30, 2026
CLIA Number30D2194500
Laboratory TypePractitioner Other
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorWanda Colon-Cartegena
Laboratory Phone(617) 420-5316
Laboratory LocationLandmark Medical Of New Hampshire20 Trafalgar Sq, #407, Nashua, NH 03063
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

VALORIE THOMAS APRN
Nurse Practitioner (Gerontology)
475 KILVERT ST STE 310
WARWICK, RI 02886
Kent County (508) 942-8196
MRS. VALERIE BERNIER FNP-C
Nurse Practitioner (Family)
475 KILVERT ST STE 310
WARWICK, RI 02886
Kent County (401) 302-4460

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 Landmark Medical Of Rhode Island PC's NPI number?

The NPI number for Landmark Medical Of Rhode Island PC is 1548803729. It was assigned to this organization in the NPPES registry on October 21, 2019.

Where is Landmark Medical Of Rhode Island PC located?

Landmark Medical Of Rhode Island PC is located at 475 Kilvert St Ste 310, Warwick, RI 02886. The listed phone number is (617) 420-5316.

What is Landmark Medical Of Rhode Island PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Landmark Medical Of Rhode Island PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 30D2194500) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Landmark Medical Of Rhode Island PC was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.