# LANDMARK PHYSICIAN ASSOCIATES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRIME HEALTHCARE SERVICES LANDMARK LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316347644
- **Legal business name:** PRIME HEALTHCARE SERVICES LANDMARK LLC
- **Authorized official:** MR. RICHARD CHAREST (CEO)
- **Authorized official phone:** (401) 769-4100

## Contact information

- **Practice address:** 219 CASS AVE, WOONSOCKET, RI 02895-4736
- **Practice address phone:** (401) 769-4100
- **Practice address fax:** (401) 766-9575
- **Mailing address:** 219 CASS AVE, WOONSOCKET, RI 02895-4736
- **Mailing address phone:** (401) 769-4100
- **Mailing address fax:** (401) 766-9575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | — |
| 207RH0003X | Hematology & Oncology Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 08/22/2014
- **Last updated:** 08/22/2014