BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. (NPI# 1043299001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043299001 |
| Entity Type | Organization |
| Organization Name | BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. |
| Practice Address |
275 Sandwich St Plymouth MA 02360-2183 |
| Practice Telephone | 5087462000 |
| Practice Fax Number | 5088301131 |
| Mailing Telephone | 5087462000 |
| Mailing Fax Number | 5088301131 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2020-01-14 |
| Authorized Official Name | JASON M RADZEVICH (V.P. OF FINANCE AND CFO) |
| Authorized Official Telephone | 5088302005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 2082 | MA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | CHAMPUS | S012236 | 01 |
| MA | BCBS MA INPATIENT | 2222006001 | 01 |
| MA | TUFTS INPATIENT | 900021 | 01 |
| MA | 110024453C | 05 | |
| MA | BMC HEALTHNET | 000000020545 | 01 |
| MA | HPHC | 900002 | 01 |
| MA | 1001434 | 05 | |
| MA | MEDICARE PTAN | 220060 | 01 |
| MA | TUFTS 1500 PSYCH BILLING | 500444 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770963928 | Beth Israel Deaconess Hospital Plymouth, Inc. | Clinic/Center | 275 Sandwich St, Plymouth, MA 02360-2183 | 2015-06-03 |
| 1144463753 | Beth Israel Deaconess Hospital Plymouth, Inc. | Durable Medical Equipment & Medical Supplies | 275 Sandwich St, Plymouth, MA 02360-2183 | 2009-04-13 |
| 1023284924 | Beth Israel Deaconess Hospital Plymouth, Inc. | Psychiatric Unit | 275 Sandwich St, Plymouth, MA 02360-2183 | 2008-05-01 |
| 1760598700 | Beth Israel Deaconess Hospital Plymouth, Inc. | General Acute Care Hospital | 275 Sandwich St, Plymouth, MA 02360-2183 | 2006-08-22 |
| 1164535084 | Beth Israel Deaconess Hospital Plymouth, Inc. | Hospice Care, Community Based | 36 Cordage Park Cir, Suite 326, Plymouth, MA 02360-7331 | 2006-08-16 |
| Street Address |
275 SANDWICH ST |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-2183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184618910 | David Kelly | Specialist | 275 Sandwich St, Plymouth, MA 02360-2183 | 2005-09-08 |
| 1043879273 | Sarah Blais | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2019-06-11 |
| 1023572021 | Jessica M Olson | Advanced Practice Midwife | 275 Sandwich St, Plymouth, MA 02360-2183 | 2019-01-24 |
| 1275005134 | Victoria Turaman | Registered Nurse | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-12-17 |
| 1164907564 | Bethany Ison | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-10-02 |
| 1205319837 | Laurie Gilburne | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-09-10 |
| 1386126589 | Pamela Wood | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-09-04 |
| 1255819744 | Amy Jorud | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-08-06 |
| 1528544772 | Michaela Jean Butler | Physician Assistant | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-07-11 |
| 1407354087 | Shelby Lynne Sullivan | Nurse Anesthetist, Certified Registered | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-01-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346402047 | Speare Memorial Hospital | General Acute Care Hospital | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2008-06-25 |
| 1669689642 | St Joseph Regional Medical Center | General Acute Care Hospital | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2007-05-17 |
| 1578770558 | St Joseph Regional Medical Center Plymouth Campus | General Acute Care Hospital | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2007-05-17 |
| 1487861464 | St Joseph Regional Medical Center - Plymouth | General Acute Care Hospital | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2007-05-17 |
| 1134336118 | St Joe Regional Medical Center | General Acute Care Hospital | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2007-05-17 |
| 1760598700 | Beth Israel Deaconess Hospital Plymouth, Inc. | General Acute Care Hospital | 275 Sandwich St, Plymouth, MA 02360-2183 | 2006-08-22 |
| 1760496376 | Speare Memorial Hospital | General Acute Care Hospital | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2006-07-28 |
| 1174571129 | Saint Joseph Regional Medical Center Plymouth Campus, Inc. | General Acute Care Hospital | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710419023 | Shawna Josephine Flaherty | General Acute Care Hospital | 53 Keayne St, Revere, MA 02151-1819 | 2017-03-28 |
| 1740721935 | Doris Kemp | General Acute Care Hospital | 47 Austin St, Boston, MA 02136-1532 | 2017-03-20 |
| 1538607510 | Selah Health, LLC | General Acute Care Hospital | 435 Mckoy Rd, Eastham, MA 02642 | 2017-02-09 |
| 1679010839 | Newton Wellesley Hospital | General Acute Care Hospital | 31 Vine Brook Rd, Westford, MA 01886-4215 | 2017-01-26 |
| 1922551969 | Tufts Medical Center | General Acute Care Hospital | 800 Washington Street, Box 836, Boston, MA 02111 | 2016-07-26 |
| 1578921409 | Regis College | General Acute Care Hospital | 49 S Cottage Rd, Belmont, MA 02478-1155 | 2016-02-06 |
| 1114385218 | Susanne Clare | General Acute Care Hospital | 5 Hickory Ln, Georgetown, MA 01833-1801 | 2016-02-03 |
| 1265802615 | Anh Duong | General Acute Care Hospital | 10 Bow Street Ext, Saugus, MA 01906 | 2015-09-29 |
| 1558737460 | David John Murphy | General Acute Care Hospital | Brigham and Women's Hospital, 75 Francis St, Dept Cardiovascular Imaging, Boston, MA 02115 | 2015-08-14 |
| 1235515628 | Dayna Gardner | General Acute Care Hospital | 33 East St, East Bridgewater, MA 02333-1939 | 2015-08-07 |
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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.