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

Provident Pain and Wellness Clinic

Organization Anesthesiology Physician · NPI 1639404635

Provident Pain and Wellness Clinic is an Anesthesiology Physician in Newport, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2009.

Licensed in
RI
In the registry since
2009
Specialties on file
3

Practice location Address checks out

19 Friendship St Ste 160
Newport, RI 02840-2200
Phone: (401) 499-7771
Show map & directions

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

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence 10503 (RI)
Anesthesiology Physician Taxonomy 207L00000X · Licence 10503 (RI)
Physical Therapist Taxonomy 225100000X · Licence PT01902 (RI)

Record details

NPI number1639404635
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raul Masing — Owner · (401) 499-7771
NPI enumeratedOctober 8, 2009
Last updated in NPPESMarch 28, 2011
Mailing address75 Newman Ave, Suite 100, Rumford, RI 02916-3603

Other providers in Newport