LIFESPAN PHYSICIAN GROUP, INC. – NPI #1174484216
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

LIFESPAN PHYSICIAN GROUP, INC. is a surgeon located in PROVIDENCE, RI. NPPES has assigned the NPI number 1174484216 to LIFESPAN PHYSICIAN GROUP, INC. on November 19, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 16 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was last updated on Dec 02, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIFESPAN PHYSICIAN GROUP, INC. below.

NPI Profile for
LIFESPAN PHYSICIAN GROUP, INC.

NPI Number
1174484216
Enumeration Date

(about 7 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIFESPAN PHYSICIAN GROUP, INC.
Primary location
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905-3248
Phone: (401) 272-1800 Fax: (401) 751-5124
16 Other location(s):
562 WASHINGTON ST
SOUTH ATTLEBORO, MA 02703-6942
Phone: (401) 272-1800
Fax: (401) 751-5124
1500 PONTIAC AVE
Cranston, RI 02920-4486
Phone: (401) 272-1800
Fax: (401) 751-5124
1407 S COUNTY TRL STE 423
EAST GREENWICH, RI 02818-1761
Phone: (401) 228-0590
Fax: (401) 471-7301
450 VETERANS MEMORIAL PKWY BLDG 9
EAST PROVIDENCE, RI 02914-5300
Phone: (401) 272-1800
Fax: (401) 751-5124
900 WARREN AVE STE 202
EAST PROVIDENCE, RI 02914-1430
Phone: (401) 272-1800
Fax: (401) 751-5124
1524 ATWOOD AVE
JOHNSTON, RI 02919-3248
Phone: (401) 272-1800
Fax: (401) 751-5124
2 Wake Robin Rd Ste 205
Lincoln, RI 02865-4241
Phone: (401) 272-1800
Fax: (401) 751-5124
19 FRIENDSHIP ST UNIT 240
Newport, RI 02840-2200
Phone: (401) 619-3930
Fax: (401) 619-3932
100 HIGHLAND AVE STE 308
Providence, RI 02906-2753
Phone: (401) 272-1800
Fax: (401) 751-5124
164 SUMMIT AVE # C70
Providence, RI 02906-2853
Phone: (401) 793-4545
Fax: (401) 793-7866
195 COLLYER ST STE 302
Providence, RI 02904-1869
Phone: (401) 793-3236
Fax: (401) 793-5171
2 DUDLEY ST STE 190
Providence, RI 02905-3248
Phone: (401) 272-1800
Fax: (401) 751-5124
2 DUDLEY ST STE 370
Providence, RI 02905-3248
Phone: (401) 272-1800
Fax: (401) 751-5124
208 COLLYER ST STE 301A
Providence, RI 02904-1560
Phone: (401) 725-4888
Fax: (401) 725-3336
593 EDDY ST APC 4
Providence, RI 02903-4923
Phone: (401) 272-1800
Fax: (401) 751-5124
639 METACOM AVE
WARREN, RI 02885-2348
Phone: (401) 272-1800
Fax: (401) 751-5124
Mailing address
15 LA SALLE SQ
PROVIDENCE, RI 02903-1814
Phone: Fax:
Organization Subpart
No
Authorized Official
CHRISTINE RAWNSLEY
VP REVENUE CYCLE
Phone: (401) 444-6905
Updated
Certification Date
Dec 02, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208600000X
- Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.