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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Lifespan Physician Group Inc

Ambulatory Surgical Clinic/Center in East Providence, RI · enumerated 2026 · authorized official Donna Gordon, Director Professional Revenue Ops.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134078868

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Lifespan Physician Group Inc
Parent organization Lifespan Physician Group Inc
Practice address 62 Amaral Street, East Providence, RI, 02915
Fax (401) 649-4031
Enumeration date Jan 26, 2026
Last updated in NPPES Jul 16, 2026

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Donna Gordon
Title Director Professional Revenue Ops

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Lifespan Physician Group Inc?
Lifespan Physician Group Inc is registered in NPPES as a Ambulatory Surgical Clinic/Center (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-07-16.