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Lifespan Physician Group, Inc.

Q: What type of organization is Lifespan Physician Group, Inc.?

Lifespan Physician Group, Inc. is registered in NPPES as a General Practice Physician (its primary provider taxonomy).

General Practice Physician in Providence, RI · enumerated 2012 · authorized official Peter Markell, Evp & Cfo.

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

National Provider Identifier

1407116643

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Registry record

Entity type Organization (Type 2)

Legal business name Lifespan Physician Group, Inc.

Other name <Unavail>

Parent organization Lifespan Corporation

Practice address 593 Eddy St, Providence, RI, 02903

Phone (401) 444-6779

Fax (401) 444-6912

Enumeration date May 22, 2012

Last updated in NPPES Oct 7, 2025

Taxonomy & classification

133V00000X Registered Dietitian Dietary & Nutritional Service Providers Secondary

152W00000X Optometrist Eye and Vision Services Providers Secondary

204F00000X Transplant Surgery Physician Allopathic & Osteopathic Physicians Secondary

207LC0200X Critical Care Medicine (Anesthesiology) Physician Allopathic & Osteopathic Physicians Secondary

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary

208200000X Plastic Surgery Physician Allopathic & Osteopathic Physicians Secondary

208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary

2086S0102X Surgical Critical Care Physician Allopathic & Osteopathic Physicians Secondary

2086S0120X Pediatric Surgery Physician Allopathic & Osteopathic Physicians Secondary

2086S0127X Trauma Surgery Physician Allopathic & Osteopathic Physicians Secondary

2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians Secondary

2086X0206X Surgical Oncology Physician Allopathic & Osteopathic Physicians Secondary

208C00000X Colon & Rectal Surgery Physician Allopathic & Osteopathic Physicians Secondary

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary

208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Peter Markell

Title Evp & Cfo

Phone (401) 444-7914

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Lifespan Physician Group, Inc.?

Lifespan Physician Group, Inc. is registered in NPPES as a General Practice Physician (its primary provider taxonomy).

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.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-07.