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Deactivated NPI 1063459774 Deactivated / Inactive NPI Male Practitioner

Dr. Charles C.j. Carpenter , MD

Internal Medicine • Providence, RI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Carpenter has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 01, 2006
NPI Deactivation Date May 11, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Carpenter, MD was a registered Internal Medicine practicing in Providence, RI. Throughout an active medical career spanning 14 years, Dr. Carpenter provided care at the practice location at 164 SUMMIT AVE until profile deactivation on 2020-05-11.

Practice Location & Contact Primary Location

Practice Address

164 Summit Ave
Fain Bldg, Suite E

Providence, RI 029062853

Telephone 4017932928
Fax 4017937401
Associated Practice Facility / Clinic
🏢 The Miriam Hospital Facility NPI 1487649430

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.8 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
523 Specialists

Practicing in Providence, RI (1079 Statewide)

Telehealth Adoption Rate
9.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD06836

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners
Dr. Cheston Cunha , MD

Internal Medicine - Infectious Disease

NPI 1023246287

Doctor of Medicine (M.D.)

Dr. Antone Medeiros , MD

Internal Medicine - Infectious Disease

NPI 1063450393

Doctor of Medicine (M.D.)

Michaela Maynard , APRN

Nurse Practitioner - Adult Health

NPI 1083090849

Advanced Practice Registered Nurse

Dr. Sara Geffert , MD, MS, M(ASCP)

Internal Medicine - Infectious Disease

NPI 1083971097

Doctor of Medicine (M.D.), Master of Science, M(ASCP)

Dr. Francine Touzard Romo , MD

Internal Medicine - Infectious Disease

NPI 1104072214

Doctor of Medicine (M.D.)

Laureen Berkowitz , PA-C

Physician Assistant

NPI 1104110030

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 11, 2020

Record deactivated on May 11, 2020

NPI Profile Active February 12, 2015

NPI status registered as active in NPPES database

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Updated Practice Location February 12, 2015

Registered at 164 SUMMIT AVE, FAIN BLDG, SUITE E, PROVIDENCE, RI 029062853 (Tel: 4017932928)

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Updated Business Mailing Address February 12, 2015

Registered at PO BOX 1358, PROVIDENCE, RI 029011358

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Provider Name / Credentials Updated February 12, 2015

Recorded as CHARLES CARPENTER, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2015

Internal Medicine (License #MD06836 in RI)

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Initial NPI Registration & Enumeration June 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063459774
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2006
Last Update: February 12, 2015
Deactivation Date: May 11, 2020

Mailing Address

Po Box 1358

Providence, RI 029011358

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.