# VETERAN MEDICAL SPECIALISTS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841074580
- **Authorized official:** DERRYL NOWAK (COO)
- **Authorized official phone:** (585) 472-3018

## Contact information

- **Practice address:** 139 BENEFIT ST, PAWTUCKET, RI 02861-1024
- **Practice address phone:** (401) 206-0715
- **Practice address fax:** (401) 204-1123
- **Mailing address:** 8204 LISA LN, SMYRNA, TN 37167-3364
- **Mailing address phone:** (401) 206-0715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 171400000X | Health & Wellness Coach | — | NULL | — |
| 171400000X | Health & Wellness Coach | — | — | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QV0200X | VA Clinic/Center | — | NULL | — |
| 305R00000X | Preferred Provider Organization | — | NULL | — |

## Other

- **Enumeration date:** 08/23/2023
- **Last updated:** 08/23/2023