SOUTH SHORE MEDICAL CENTER, INC (NPI# 1033778824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033778824 |
| Entity Type | Organization |
| Organization Name | SOUTH SHORE MEDICAL CENTER, INC |
| Practice Address |
143 Longwater Dr Norwell MA 02061-1683 |
| Mailing Address |
141 Longwater Dr Norwell MA 02061-1632 |
| Practice Telephone | 7818785200 |
| Mailing Telephone | 7817924136 |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |
| Authorized Official Name | MARIANNE CAPUTO (PROVIDER ENROLMENT SUPERVISOR) |
| Authorized Official Telephone | 7817924136 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians | ||
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1495 Hancock St, Quincy, MA 021695229 | 7818785200 | |
| 340 Wood Rd, Braintree, MA 021842401 | 7818785200 | |
| 5 Tarkiln Rd, Kingston, MA 023641250 | 7815852200 | |
| 51 Performance Dr, Weymouth, MA 021893141 | 7816828000 | |
| 780 Main St Ste 2c, Weymouth, MA 021901618 | 7813414600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275655409 | South Shore Medical Center, Inc | Orthopaedic Surgery | 75 Washngton Street, South Shore Medical Center, Inc, Norwell, MA 02061-9147 | 2007-04-06 |
| 1285112052 | South Shore Medical Center, Inc | Clinic/Center | 143 Longwater Dr, Norwell, MA 02061-1683 | 2018-08-02 |
| 1902976798 | South Shore Medical Center, Inc | Psychologist | 75 Washington St, Norwell, MA 02061-9147 | 2006-11-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | SOUTH SHORE MEDICAL CENTER, INC. | 75 Washington Street, Norwell, MA 02061 |
| Street Address |
143 LONGWATER DR |
| City | NORWELL |
| State | MA |
| Zip Code | 02061-1683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560488 | Scott P. Corkins | Family Medicine | 143 Longwater Dr, South Shore Medcal Center, Inc, Norwell, MA 02061-1683 | 2005-07-07 |
| 1427671601 | Kimberly Hope Azulay | Nurse Practitioner | 143 Longwater Dr, Norwell, MA 02061-1683 | 2020-05-22 |
| 1154885606 | Lindsay Verraster | Dietitian, Registered | 143 Longwater Dr, Norwell, MA 02061-1683 | 2019-01-29 |
| 1285112052 | South Shore Medical Center, Inc | Clinic/Center | 143 Longwater Dr, Norwell, MA 02061-1683 | 2018-08-02 |
| 1528597267 | Allyson Julia Gutstein | Pediatrics | 143 Longwater Dr, Norwell, MA 02061-1683 | 2017-06-07 |
| 1760913271 | Julia M. Vu | Family Medicine | 143 Longwater Dr, Norwell, MA 02061-1683 | 2017-03-26 |
| 1134673346 | Patrick Joseph Welch | Physician Assistant | 143 Longwater Dr, Norwell, MA 02061-9147 | 2016-08-05 |
| 1811356132 | Erica Moses | Registered Nurse | 143 Longwater Dr, Norwell, MA 02061 | 2016-02-15 |
| 1710360136 | Emily Mcphee | Dietitian, Registered | 143 Longwater Dr, Norwell, MA 02061-1683 | 2015-07-02 |
| 1164838926 | Erin M Anderson | Physician Assistant | 143 Longwater Dr, Norwell, MA 02061-1683 | 2014-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215561113 | Adaptive Design for Living, LLC | Occupational Therapist | 53 Cushing Hill Road, Norwell, MA 02061 | 2020-02-28 |
| 1578116471 | Alyssa Beth Matthews | Behavior Technician | Proven Behavioral Solutions, 80 Washington Street Building P55, Norwell, MA 02061 | 2019-07-19 |
| 1225524986 | John Michael Mullen | Counselor | 384 Washington Street, Norwell, MA 02061 | 2018-07-06 |
| 1669973947 | Brittany White | Counselor | 200 Corwainer Dr, Suite 200, Norwell, MA 02061 | 2018-02-22 |
| 1720525470 | Nathaniel Chan Dmd PC | Dentist | 353 Washington Street, Norwell, MA 02061 | 2017-01-19 |
| 1053786707 | Proven Behavior Solutions, LLC | Behavioral Analyst | 80 Washington St Ste P55, Norwell, MA 02061 | 2015-12-07 |
| 1922405547 | Elizabeth Goggin | Speech-Language Pathologist | 329 Washington Street, Royal Norwell, Norwell, MA 02061 | 2014-11-25 |
| 1215332473 | Nicole Cisneros Pegher | Midwife | 164 Washington St Ste 104, Norwell, MA 02061 | 2014-10-30 |
| 1073918348 | Hingham Pediatric Dentistry, PC | Dentist | 45 Pond Street, Norwell, MA 02061 | 2014-10-29 |
| 1669874954 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 40 Accord Park Dr, Suite 104, Norwell, MA 02061 | 2014-09-18 |
| Find all providers in zip 02061 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477843399 | Devina Luhur Willard | Internal Medicine | 143 Longwater Dr., Norwell, MA 02061 | 2011-04-12 |
| 1124182233 | Erin Morrissette Ney | Internal Medicine | 10 Lot Phillips Ln, Norwell, MA 02061-2541 | 2006-12-21 |
| 1538140579 | Veronica Vedensky | Internal Medicine | 75 Washington Street, Norwell, MA 02061-9147 | 2005-11-08 |
| 1558681445 | Amara Lee Mulder | Internal Medicine | 143 Longwater Dr, Norwell, MA 02061-1683 | 2010-06-03 |
| 1932336062 | Susan Swords | Internal Medicine | 143 Longwater Dr, Norwell, MA 02061-1683 | 2009-06-16 |
| 1124219506 | David Chiang | Internal Medicine | 143 Longwater Dr, Norwell, MA 02061-1683 | 2007-08-09 |
| 1396960977 | Anna Barbosa | Internal Medicine | 143 Longwater Dr, South Shore Medical Center, Inc., Norwell, MA 02061-1683 | 2007-04-17 |
| 1376653782 | Karin A Sloan | Internal Medicine | 143 Longwater Dr, Norwell, MA 02061-1683 | 2006-08-30 |
| 1891720892 | Timothy R. Lynch | Internal Medicine | 143 Longwater Drive, Norwell, MA 02061-9147 | 2006-07-11 |
| 1063459287 | James E. Tate | Internal Medicine | 143 Longwater Drive, Norwell, MA 02061-9147 | 2006-05-31 |
| Find all providers in NORWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.