Randall Lee Updegrove, MD is a
Preventive Medicine - Occupational Medicine physician based in East Greenwich, Rhode Island. Randall Lee Updegrove is licensed to practice in Rhode Island (license number 08772) and his current practice location is 1405 S County Trl, Suite 510, East Greenwich, Rhode Island. He can be reached at his office (for appointments etc.) via phone at
(401) 884-9605.
NPI number for Randall Lee Updegrove is 1740227198 and his current mailing address is 2 Dudley St, Suite, Providence, Rhode Island. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740227198.
Physician's Profile
| Full Name | Randall Lee Updegrove |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 1405 S County Trl, East Greenwich, Rhode Island |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1740227198
- Provider Enumeration Date: 06/01/2006
- Last Update Date: 02/07/2012
Medical Identifiers
Medical identifiers for Randall Lee Updegrove such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740227198 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 8772 (Rhode Island) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 08772 (Rhode Island) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Randall Lee Updegrove is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Randall Lee Updegrove, MD
2 Dudley St, Suite,
Providence, RI 02905-3236
Ph: (401) 884-9605 | Randall Lee Updegrove, MD
1405 S County Trl, Suite 510,
East Greenwich, RI 02818-5081
Ph: (401) 884-9605 |
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