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.
Individual
RICHARD JOSEPH PROVENZANO
Active
Individual
RICHARD JOSEPH PROVENZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
042-0006501
VT
207W00000X
Ophthalmology Physician
45884
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000024109
BMC
MA
01
—
000000024110
BMC
VT
05
—
0005144
—
VT
05
—
00461192
—
NY
01
—
10001651
CDPHP
MA
01
—
10001651
CDPHP
VT
05
—
110000678A
—
MA
01
—
15622
HNE
MA
01
—
15622
15622
VT
01
—
17155
MVP
MA
01
—
17155
MVP
VT
01
—
I19054
MABS
MA
01
—
I19054
MABS
VT
01
—
VT5144
VTBS
VT
Enumeration date
05/22/2006
Last updated
03/30/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers