OrganizationActive
The Miriam Hospital
NPI 1477700243 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Providence, RI
Provider details
- NPI number
- 1477700243
- Entity type
- Organization
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- The Miriam Hospital
- Organization subpart
- Yes
- Authorized official
- Eva Greenwood, Svp, Finance(401) 444-7914
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
164 Summit Ave
Providence, RI 02906-2853
Phone: (401) 793-4569
Fax: (401) 793-4008
Approximate (ZIP-level) locationGet directions
Mailing address
15 La Salle Sq
Providence, RI 02903-1814
Other names (DBA / former)
- Doing business as
- The Miriam Hospital Cardiovascular Surgery Division
- Doing business as
- The Miriam Hospital Cardiovascular Surgery Division
Registry dates
- Enumerated
- 2008-08-25
- Last updated
- 2025-12-11
- Certified
- 2025-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.