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

Individual provider Medical Physician Assistant · NPI 1174586671

Mr. Phathsady Louangxay, PA is a Physician Assistant in Providence, Rhode Island. Qualified in 2004, 22 years ago. Practices with Vmd Primary Providers of Rhode Island PC, a 50-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
22
Licensed in
RI
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

164 Summit Ave # C70
Providence, RI 02906-2853
Phone: (401) 793-4545
Fax: (401) 793-7866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 455 Toll Gate Rd, Warwick, RI 02886-2759 — (401) 737-7010

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 00356 (RI)

Record details

NPI number1174586671
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 7, 2006
Last updated in NPPESFebruary 18, 2021
Certification dateFebruary 18, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Vmd Primary Providers Of Rhode Island Pc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Providence