Individual
DR. THOMAS R MEREDITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 MESHANTICUT VALLEY PKWY, CRANSTON, RI 02920-3964
(781) 650-0797
(401) 943-1654
Mailing address
140 MESHANTICUT VALLEY PKWY, CRANSTON, RI 02920-3964
(781) 640-0797
(401) 943-1654
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD13075
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001248501
MEDICARE
RI
01
—
04/15/2009
UNITED HEALTHCARE
RI
01
—
09-22-2009
TUFTS HEALTH PLAN
MA
01
—
10-08-2009
NHPRI
RI
01
—
10/27/2009
BCBS
RI
05
—
110082966
—
MA
01
—
1770765976
NPI
RI
01
—
1962455022
UEMF GROUP NPI
RI
05
—
TM77319
—
RI
Enumeration date
11/29/2007
Last updated
02/05/2025
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