Provider Demographics
NPI:1538425160
Name:PATRICIA A. ROMPF, M.D., INC
Entity type:Organization
Organization Name:PATRICIA A. ROMPF, M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:ROMPF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-421-4186
Mailing Address - Street 1:235 PLAIN ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905-3240
Mailing Address - Country:US
Mailing Address - Phone:401-421-4186
Mailing Address - Fax:401-273-4820
Practice Address - Street 1:235 PLAIN ST
Practice Address - Street 2:SUITE 301
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-3240
Practice Address - Country:US
Practice Address - Phone:401-421-4186
Practice Address - Fax:401-273-4820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD043432080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9001367Medicaid
RI9001367Medicaid
RIC89950Medicare UPIN