Thomas Fairweather Crain
Internal Medicine (Cardiovascular Disease)

Address: 164 Summit Ave, Providence, RI 02906-2853
Phone: 4017934630

Thomas Fairweather Crain (NPI# 1003871856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1003871856
Entity Type Individual
Full Name Thomas Fairweather Crain
Credential MD
Gender Male
Practice Address 164 Summit Ave
Providence
RI 02906-2853
Practice Telephone 4017934630
Mailing Address 164 Summit Ave
Providence
RI 02906-2853
Mailing Telephone 4017934630
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2006-04-17
Last Update Date 2010-12-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207RC0000X Internal Medicine · Cardiovascular Disease Allopathic & Osteopathic Physicians MD11407 RI

Other Providers THOMAS CRAIN

NPI Name Taxonomy Address Enumeration
1033270285 Thomas L Crain Dentist 8530 N Green Hills Road, Kansas City, MO 64154 2006-12-12
1578524237 Thomas Cecil Crain Family Medicine 83 W Main St, Taylorsville, KY 40071-8616 2006-03-31
1588792345 Thomas R Crain Jr. Dentist 1503 Potomac Ave, Pittsburgh, PA 15216-2109 2007-03-01

Physician Overview

NPI 1003871856
PAC ID by PECOS 9133188428
Professional Enrollment ID I20041004000219
Full Name Thomas F Crain
Organization Legal Name LIFESPAN PHYSICIAN GROUP, INC.
Phone Number 4013546050
Gender M
Credential MD
Medical School GEORGETOWN UNIVERSITY OF MEDICINE
Graduation Year 1998
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Group Practice PAC ID 2567455082
Number of Group Practice Members 584
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
410012 THE MIRIAM HOSPITAL
410007 RHODE ISLAND HOSPITAL

Office Location

Street Address 164 SUMMIT AVE
City PROVIDENCE
State RI
Zip Code 02906-2853

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396740551 Karen T Tashima Internal Medicine 164 Summit Ave, Fain Bldg., Suite E, Providence, RI 02906-2853 2005-06-15
1164992558 Lisha Andrew Dietitian, Registered 164 Summit Ave, Providence, RI 02906-2894 2018-11-28
1689156242 Monique Coley Physician Assistant 164 Summit Ave, Providence, RI 02906-2894 2018-08-30
1578058087 Noor N Safadi Physician Assistant 164 Summit Ave, Providence, RI 02906-2853 2018-06-27
1356847172 Heidi Jimenez Nurse Practitioner 164 Summit Ave, Providence, RI 02906 2018-04-02
1831694439 Laura Canavan Nurse Practitioner 164 Summit Ave, Providence, RI 02906 2018-03-26
1093229981 Karen Padraic Nurse Practitioner 164 Summit Ave, Providence, RI 02906-2853 2017-11-30
1871006056 Caroline Claire Kinney Registered Nurse 164 Summit Ave, Providence, RI 02906-2853 2017-11-10
1225554769 Ashley Leslie Chartier Nurse Practitioner 164 Summit Ave, Providence, RI 02906-2853 2017-08-16
1881119253 Mindy Stone Speech-Language Pathologist 164 Summit Ave, Providence, RI 02906 2017-08-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316453855 Ellen Van Ingen Darling Psychologist 285 Governor St Ste 250, Providence, RI 02906 2017-12-20
1275063919 Marissa Martz Psychiatry & Neurology 345 Blackstone Blvd., Providence, RI 02906 2017-06-15
1235663220 Alena Haltzman Counselor 223 Summit Ave, Providence, RI 02906 2017-04-17
1669823399 Kathryn Fleming-ives LLC Psychiatry & Neurology 355 Hope St Unit 1, Providence, RI 02906 2016-06-23
1134573389 Sarah E. Kramer Psychiatry & Neurology Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 2016-04-13
1538534201 Laura Anne Buss Social Worker 55 Hope St., Providence, RI 02906 2015-12-07
1265816961 Jill Ann Vaughn Nurse Practitioner 167 Summit Avenue, Providence, RI 02906 2015-07-13
1467851519 Jamila Allouane Social Worker 120 Wayland Avenue Suite 2, Providence, RI 02906 2014-08-14
1275949984 Jessica Brett Farrell Pediatrics 285 Governor St Ste 3, Providence, RI 02906 2014-07-02
1629419379 Roberta B. Hackett Psychoanalyst 70 Elmgrove Ave, Providence, RI 02906 2013-07-10
Find all providers in zip 02906

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265621460 Gideon Koren Internal Medicine Rih, 1 Hoppin Street, Providence, RI 02903 2007-10-24
1003921693 Mario Tami Internal Medicine 1264 Smith St, Providence, RI 02908 2006-08-21
1548295942 Harry Schwartz Internal Medicine 208 Collyer Street, Suite 100, Providence, RI 02904 2006-07-12
1548221831 Youssef H Georgy Internal Medicine 30 Blackstone Blvd, Providence, RI 02906-5445 2006-03-28
1629076351 Gisele Saliba Internal Medicine 1524 Atwood Ave, Providence, RI 02919-3228 2005-07-07
1497759294 Franklin Schneider Internal Medicine 1076 North Main Street, Providence, RI 02904 2005-06-09
1588088850 The Miriam Hospital Internal Medicine 164 Summit Ave, Fain Bldg, Providence, RI 02906-2853 2014-02-07
1568892982 Cava Heart & Vascular, LLC Internal Medicine 1 Randall Sq, Suite 307, Providence, RI 02904-2709 2013-11-21
1114357530 Cardiology Consultants, LLC Internal Medicine 1 Randall Sq, Suite 305, Providence, RI 02904-2709 2013-11-21
1962844795 Rhode Island Hospital Internal Medicine 593 Eddy St, Providence, RI 02903-4923 2013-07-22
Find all providers in PROVIDENCE

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City PROVIDENCE
Zip Code 02906

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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