Individual
SARAH CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 02903-4923
(401) 519-1604
(401) 272-0538
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2508
(401) 854-2519
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD11848
RI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD11848
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0070588631
RI MEDICARE
RI
01
—
07012011
TUFTS HEALTH PLAN
MA
01
—
07012011
UNITED HEALTHCARE
RI
01
—
07232011
BCBSRI
RI
01
—
08112011
NHPRI
RI
05
—
110074069/A
—
MA
01
—
1184734659
NPI
RI
05
—
7058863
—
RI
01
—
939025129
RI MEDICARE GROUP NUMBER
RI
Enumeration date
08/30/2006
Last updated
10/20/2011
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