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 is a Surgery Physician 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