Whalio Doctors

NPI 1407116643

Lifespan Physician Group, INC.

Organisation General Practice Physician Providence, RI

Practice location

Address
593 Eddy St, Providence, RI 02903-4923
Phone
(401) 444-6779
Fax
(401) 444-6912
Mailing address
117 Ellenfield St Suite 101, Providence, RI 02905-4513

Authorised official

Name
Peter K Markell
Title
Evp & Cfo
Phone
(401) 444-7914

Registered specialties (15)

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X
Registered Dietitian
Dietary & Nutritional Service Providers Taxonomy 133V00000X
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X
Transplant Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 204F00000X
Critical Care Medicine (Anesthesiology) Physician
Allopathic & Osteopathic Physicians Taxonomy 207LC0200X
Obstetrics & Gynecology Physician
Allopathic & Osteopathic Physicians Taxonomy 207V00000X
Plastic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208200000X
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X
Surgical Critical Care Physician
Allopathic & Osteopathic Physicians Taxonomy 2086S0102X
Pediatric Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 2086S0120X
Trauma Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 2086S0127X
Vascular Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 2086S0129X
Surgical Oncology Physician
Allopathic & Osteopathic Physicians Taxonomy 2086X0206X
Colon & Rectal Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208C00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Allopathic & Osteopathic Physicians Taxonomy 208G00000X

Registry record

NPI
1407116643
Entity type
Organization
NPI issued
22 May 2012
Record last updated
7 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.