# ENCOMPASS PEDIATRICS, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Encompass Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659882504
- **Authorized official:** ASHA SRINATH (PRACTICE MANAGER)
- **Authorized official phone:** (401) 728-9208

## Contact information

- **Practice address:** 126 PROSPECT ST STE 202, PAWTUCKET, RI 02860
- **Practice address phone:** (508) 847-5884
- **Mailing address:** 126 PROSPECT ST STE 202, PAWTUCKET, RI 02860-4429
- **Mailing address phone:** (401) 728-9208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 10/18/2017
- **Last updated:** 07/19/2018