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

MS. Laura Favicchio, PA

Individual provider Surgical Physician Assistant · NPI 1760717219

MS. Laura Favicchio, PA is a Physician Assistant in Warwick, Rhode Island. Qualified in 2009, 17 years ago. Practices with Rhode Island Medical Imaging Inc, a 107-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
17
Licensed in
MA, RI
In the registry since
2009
Specialties on file
4
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

125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
Phone: (401) 432-2500
Fax: (401) 453-8220
Show map & directions

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

Additional practice locations (1)

  • 211 Park St, Attleboro, MA 02703-3137 — (508) 222-5200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00737 (RI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA00737 (RI)
Physician Assistant Taxonomy 363A00000X · Licence PA3844 (MA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA3844 (MA)

Record details

NPI number1760717219
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 15, 2009
Last updated in NPPESSeptember 30, 2020
Certification dateSeptember 30, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Rhode Island Medical Imaging Inc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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