Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Miriam Hospital

Organization Surgery Physician · NPI 1902133481

The Miriam Hospital provides Surgery Physician services in Providence, Rhode Island. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

164 Summit Ave Gilstein Suite/baxt Bldg 1ST Fl
Providence, RI 02906-2853
Phone: (401) 793-4612
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1902133481
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Markell — E Vp & Cfo · (401) 444-7914
Other names The Miriam Hospital Department Of Surgery; The Miriam Hospital Department Of Surgery
NPI enumeratedNovember 4, 2009
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025
Mailing address15 La Salle Sq, Providence, RI 02903-1814

Other providers in Providence