Provider Demographics
NPI:1639175482
Name:DORRIS, HEIDI J (MD)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:J
Last Name:DORRIS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:106 NATE WHIPPLE HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-1403
Mailing Address - Country:US
Mailing Address - Phone:401-658-2020
Mailing Address - Fax:401-658-3612
Practice Address - Street 1:481 KINGSTOWN RD
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879-3626
Practice Address - Country:US
Practice Address - Phone:401-789-0283
Practice Address - Fax:401-789-0314
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2025-10-01
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Provider Licenses
StateLicense IDTaxonomies
RIMD10153207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI7008150Medicaid
RI7008150Medicaid
RI007008150Medicare PIN