METACOM MEDICAL - NPI 1629449210 - Internal Medicine in Warren, RI

Q: What is Lifespan Physician Group, Inc.'s NPI number?

The NPI number for Lifespan Physician Group, Inc. is 1629449210. It was assigned to this organization in the NPPES registry on October 8, 2015. The provider is also known as Metacom Medical.

Q: What is Lifespan Physician Group, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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About Metacom Medical NPPES

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

METACOM MEDICAL (NPI 1629449210) is a healthcare organization registered as an internal medicine in Warren, Rhode Island and active in the NPI registry since October 2015. The organization lists Peter K Markell, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1629449210

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameLIFESPAN PHYSICIAN GROUP, INC.

Location Address639 METACOM AVEWarren, RI 02885-2348

Mailing Address117 Ellenfield St, Suite 101Providence, RI 02905-4513 · (401) 444-6779 · Fax (401) 444-6912

Phone(401) 245-1500

Fax(401) 247-2618

Organization SubpartNo

Authorized OfficialPeter K MarkellEvp & Cfo · (401) 444-7914

Enumeration DateOctober 8, 2015

Last NPPES UpdateApril 20, 20232 updates tracked since enumeration

NPPES CertifiedApril 20, 2023

✔ NPI 1629449210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedChiropractorTaxonomy 111N00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

639 METACOM AVE, Warren, RI 02885

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Other Names 1

Other NameMetacom Medical

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

Other Providers at the Same Location NPPES 9

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

DR. AMRITPAL SINGH JAWANDA MD

Family Medicine