Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Sarah Donnelly Bacon, PA-C

Individual provider Physician Assistant · NPI 1558469635

Mrs. Sarah Donnelly Bacon, PA-C is a Physician Assistant in Providence, Rhode Island. Licensed in Massachusetts and Rhode Island. Registered with an NPI since 2006.

Licensed in
MA, RI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

593 Eddy St Claverick 2
Providence, RI 02903-4923
Phone: (401) 444-5120
Fax: (401) 444-4307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00415 (RI)
Physician Assistant Taxonomy 363A00000X · Licence 2179 (MA)

Record details

NPI number1558469635
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESSeptember 12, 2008

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