SOUTHCOAST PHYSICIAN SERVICES INC (NPI# 1104874874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104874874 |
| Entity Type | Organization |
| Organization Name | SOUTHCOAST PHYSICIAN SERVICES INC |
| Other Organization Name | TRUESDALE MEDICAL SPECIALTIES ASSOCIATES |
| Practice Address |
1030 President Ave Suite 104 Fall River MA 02720-5923 |
| Practice Telephone | 5086763411 |
| Practice Fax Number | 5082356656 |
| Mailing Telephone | 5086763411 |
| Mailing Fax Number | 5082356656 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARY M HODGSON (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 5089852011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | NEIGHBORHOOD HEALTH | 0021912 | 01 |
| MA | CIGNA | B10187907 | 01 |
| MA | BMC HEALTHNET | 000000021264 | 01 |
| RI | BLUE CHIP | 004236 | 01 |
| MA | BC BS OF MASS | M17689 | 01 |
| RI | BC BS OF RI | 0000025599 | 01 |
| MA | TUFTS | 620388 | 01 |
| MA | AETNA US HEALTHCARE | 44108 | 01 |
| MA | 9704876 | 05 |
| Other Name | Type Code |
|---|---|
| Truesdale Medical Specialties Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932390358 | Southcoast Physician Services Inc | Clinical Medical Laboratory | 1030 President Avenue, Suite 306c Southcoast Physician Services Inc Dba Truesd, Fall River, MN 02720 | 2007-08-09 |
| Street Address |
1030 PRESIDENT AVE SUITE 104 |
| City | FALL RIVER |
| State | MA |
| Zip Code | 02720-5923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497757678 | Patrick J Curran | Internal Medicine | 1030 President Ave, Suite 3001, Fall River, MA 02720-5923 | 2005-06-01 |
| 1861039455 | Health Care Pharmacy Inc | Pharmacy | 1030 President Ave, Fall River, MA 02720-5923 | 2019-12-03 |
| 1619456555 | Natasha Noemia Cabral | Nurse Practitioner | 1030 President Ave, Fall River, MA 02720-5923 | 2018-08-10 |
| 1477083061 | Joann Chang | Internal Medicine | 1030 President Ave, Fall River, MA 02720-5923 | 2017-06-15 |
| 1346634052 | Southcoast Physicians Group, Inc. | Internal Medicine | 1030 President Ave, Suite 110, Fall River, MA 02720-5923 | 2015-03-20 |
| 1174862643 | Amy Kotouch | Podiatrist | 1030 President Ave, Suite 116, Fall River, MA 02720-5923 | 2013-02-04 |
| 1578809182 | Melanie Ann Daignault | Nurse Practitioner | 1030 President Ave, Suite 1001, Fall River, MA 02720-5923 | 2012-12-31 |
| 1154678233 | Erika Q Espindle | Nurse Practitioner | 1030 President Ave, Ste 1004, Fall River, MA 02720-5923 | 2012-08-08 |
| 1497001614 | Kristen Eugley Merrill | Nurse Practitioner | 1030 President Ave, Ste 3001, Fall River, MA 02720-5923 | 2012-07-25 |
| 1225398217 | Veronica Bernardo | Pediatrics | 1030 President Ave, Suite 2001, Fall River, MA 02720-5923 | 2012-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960264 | Robert Walsh | Massage Therapist | 275 High Street, 1st Floor Rear, Fall River, MA 02720 | 2020-04-10 |
| 1487147252 | Patricia Mateus Peterson | Social Worker | 1561 N Main Street, Fall River, MA 02720 | 2018-06-07 |
| 1669980371 | Jolita Perez | Home Health Aide | 92 Hanover St Apt 2, Fall River, MA 02720 | 2018-01-16 |
| 1023537305 | Rebekah Shermer Woolf | Counselor | 1082 Davol St., Fall River, MA 02720 | 2017-09-18 |
| 1467977843 | Elena Amelia Cetola | Nurse Practitioner | 38 Rock St Ste 2, Fall River, MA 02720 | 2017-08-07 |
| 1477903128 | Rebecca Anne Weller | Counselor | 1082 Davol St, Fall River, Ma 02720, Fall River, MA 02720 | 2016-06-14 |
| 1811358773 | Tiana Vidal | Counselor | 1082 N Davol St., Fallriver, MA 02720 | 2016-03-18 |
| 1477925907 | David Vega | Counselor | 1082 N Davol St, Fall River, MA 02720 | 2015-10-23 |
| 1235537473 | Desire Hendricksmoreno | Counselor | 279 North Main Street, Fall River, MA 02720 | 2014-12-19 |
| 1801294160 | Rebecca Bergeron | Counselor | 1080 Davol Street, Suite 202, Fall River, MA 02720 | 2014-12-18 |
| Find all providers in zip 02720 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1346634052 | Southcoast Physicians Group, Inc. | Internal Medicine | 1030 President Ave, Suite 110, Fall River, MA 02720-5923 | 2015-03-20 |
| 1992047088 | Jason S. Reich | Internal Medicine | 1030 President Ave Rm 110, Fall River, MA 02720-5923 | 2013-03-27 |
| 1265692784 | James B. Watson | Internal Medicine | 1030 President Ave, Suite 110, Fall River, MA 02720-5923 | 2008-06-10 |
| 1477727451 | Deepthi Deconda | Internal Medicine | 1030 President Ave, Suite 110, Fall River, MA 02720-5923 | 2008-04-21 |
| 1295783546 | Marvin David Berman | Internal Medicine | 1030 President Ave, Suite 110, Fall River, MA 02720-5923 | 2006-05-05 |
| 1952367336 | William H Graff | Internal Medicine | 1030 President Ave, Suite 110 Southcoast Physician Services Inc, Fall River, MA 02720-5923 | 2006-04-25 |
| 1427014935 | Charles B Shana | Internal Medicine | 1030 President Ave, Suite 110, Fall River, MA 02720-5923 | 2006-04-24 |
| 1609848860 | Thomas Anthony Capozza | Internal Medicine | 289 Pleasant St, Bldg 4, Suite 501, Fall River, MA 02721-3005 | 2006-02-02 |
| 1497749725 | Donald Sutherland | Internal Medicine | 289 Pleasant St, Suite 501, Fall River, MA 02721-3005 | 2005-09-01 |
| 1154315471 | Karen Susskind | Internal Medicine | 289 Pleasant St, Suite 501, Fall River, MA 02721-3005 | 2005-09-01 |
| Find all providers in FALL RIVER | ||||
| City | FALL RIVER |
| Zip Code | 02720 |
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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.