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

Macy Roderick, PA

Individual provider Physician Assistant · NPI 1922776897

Macy Roderick, PA is a Physician Assistant in Wakefield, Rhode Island. Works from 2 locations. Licensed in Hawaii and Rhode Island.

Licensed in
HI, RI
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

100 Kenyon Ave
Wakefield, RI 02879-4216
Phone: (401) 782-8000
Show map & directions

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

Additional practice locations (1)

  • 770 Kapiolani Blvd, Honolulu, HI 96813-5212 — (808) 597-8791

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01394 (RI)
Physician Assistant Taxonomy 363A00000X · Licence AMD-1238 (HI)

Record details

NPI number1922776897
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 3, 2021
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025
Mailing address770 Kapiolani Blvd, Honolulu, HI 96813-5212

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