Individual
MR. MARK RYAN GAUVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, MSPAS, RD, PA-C
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4000
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
LDN00892
RI
363A00000X
Physician Assistant
Primary
PA01375
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110178471A
MASSHEALTH
MA
Enumeration date
01/18/2017
Last updated
08/04/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up