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

Dr. Jared Sears Supple, MD

Individual provider Emergency Medicine Physician · NPI 1477045078

Dr. Jared Sears Supple, MD is an Emergency Medicine in Providence, Rhode Island. Graduated from Albany Medical College of Union University in 2018, 8 years ago. Practices with Lahey Clinic Inc, a 1,372-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts, New Hampshire and Rhode Island.

Years since qualifying
8
Trained at
Albany Medical College of Union University
Licensed in
MA, NH, RI
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-4247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 41 Mall Rd, Burlington, MA 01805-4923 — (781) 744-8000
  • 1 Medical Center Dr, Lebanon, NH 03756-0001 — (603) 650-5000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 291805 (MA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence LP04287 (RI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 39196 (NH)

Record details

NPI number1477045078
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 31, 2018
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing address55 Cromwell St Apt 303, Providence, RI 02907-2567

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2018 (8 years in practice)
Group practice Lahey Clinic Inc — 1372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Providence