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

Blackstone Medical Center, Inc

Organization Internal Medicine Physician · NPI 1396090536

Blackstone Medical Center, Inc is an Internal Medicine Physician in Woonsocket, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2012.

Licensed in
RI
In the registry since
2012
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

219 Cass Ave
Woonsocket, RI 02895-4741
Phone: (401) 769-4100
Fax: (401) 766-9575
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 00117 (RI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 00117 (RI)
Surgery Physician Taxonomy 208600000X · Licence 00117 (RI)
Surgical Oncology Physician Taxonomy 2086X0206X · Licence 00117 (RI)

Record details

NPI number1396090536
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSteward Medical Holdings, LLC
Authorized official James Renna — Cfo · (617) 419-4772
Other names Blackstone Medical Center Spine Center
NPI enumeratedJuly 13, 2012
Last updated in NPPESAugust 1, 2012
Mailing addressPo Box 845582, Boston, MA 02284-5582

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