Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

St Joseph Health Services of Ri

Organization Dermatology Physician · NPI 1013052976

St Joseph Health Services of Ri provides Dermatology Physician services in North Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2007.

Licensed in
RI
In the registry since
2007
Specialties on file
4

Practice location Address checks out

200 High Service Ave
North Providence, RI 02904-5113 Not confirmed with CMS for 12 years — call before visiting
Phone: (401) 456-3000
Fax: (401) 752-8248
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X · Licence HOS00110 (RI)
Dermatology Physician Taxonomy 207N00000X · Licence HOS00110 (RI)
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Taxonomy 2083P0011X · Licence HOS00110 (RI)
Podiatrist Taxonomy 213E00000X · Licence HOS00110 (RI)

Record details

NPI number1013052976
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Conklin — Snr. Vice President · (401) 456-3000
Other names Wound Care Group
NPI enumeratedFebruary 20, 2007
Last updated in NPPESDecember 18, 2013
Mailing address825 Chalkstone Ave, N. Campus Business Office, Attn: R. Soares, Providence, RI 02908-4728