SOUTH SHORE NEPHROLOGY, P.C. (NPI# 1124305099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124305099 |
| Entity Type | Organization |
| Organization Name | SOUTH SHORE NEPHROLOGY, P.C. |
| Other Organization Name | PIOTR LAZOWSKI, MD, P.C. |
| Practice Address |
47 Obery Street Suite 1a Plymouth MA 02360-2229 |
| Practice Telephone | 5087474883 |
| Practice Fax Number | 5087476661 |
| Mailing Telephone | 5087474883 |
| Mailing Fax Number | 5087476661 |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2020-04-09 |
| Authorized Official Name | DR. PIOTR LAZOWSKI (DOCTOR) |
| Authorized Official Telephone | 5087474883 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 207726 | MA | Other Service Providers |
| Y | 174400000X | Specialist | 203175 | MA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Piotr Lazowski, MD, P.C. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073578779 | South Shore Nephrology, P.C. | Internal Medicine | 47 Obery Street, Ste 1a, Plymouth, MA 02360-2229 | 2006-04-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | SOUTH SHORE NEPHROLOGY, P.C. | 47 Obery Street, Suite 1a, Plymouth, MA 02360 |
| Street Address |
47 OBERY STREET SUITE 1A |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-2229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851356513 | Panagiotis T Vlagopoulos | Internal Medicine | 47 Obery Street, Suite 1a, Plymouth, MA 02360-2229 | 2006-04-18 |
| 1386691012 | Piotr Lazowski | Internal Medicine | 47 Obery Street, Suite 1a, Plymouth, MA 02360-2229 | 2006-05-28 |
| 1073578779 | South Shore Nephrology, P.C. | Internal Medicine | 47 Obery Street, Ste 1a, Plymouth, MA 02360-2229 | 2006-04-18 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275760 | Heather Audra Wickham | Specialist | 19 Lukes Way, Plymouth, MA 02360-4717 | 2020-11-04 |
| 1194977447 | Lokeh Plastic Surgery Pa | Specialist | 15535 34th Ave N # 100, Plymouth, MN 55447-1481 | 2008-10-17 |
| 1346402310 | Paul S Richelson | Specialist | 7 Town West Rd, Plymouth, NH 03264-3428 | 2008-06-30 |
| 1679753305 | Jeffrey Zorn | Specialist | 47 White Trellis, Plymouth, MA 02360-7789 | 2007-11-09 |
| 1841488541 | Tenney Mountain Internal Medicine | Specialist | 251 Mayhew Tpke, Plymouth, NH 03264-3026 | 2007-10-09 |
| 1982899688 | Family Home Physicians LLC | Specialist | 801 W Ann Arbor Trl, Suite 200, Plymouth, MI 48170-1694 | 2007-09-06 |
| 1134320203 | Alan R. Murphy, M.d.,p.c. | Specialist | 17 Muirfield Rd, Plymouth, MA 02360 | 2007-05-29 |
| 1669598454 | Susan Christie Krupin-carter | Specialist | 44670 Ann Arbor Rd W, Plymouth, MI 48170-3962 | 2007-03-22 |
| 1487787016 | Northstar Radiology Corporation Pa | Specialist | 36 Nathan Lane N, Plymouth, MN 55441 | 2007-03-13 |
| 1568599207 | Elsa Boayes Horn | Specialist | W9071 Forest Drive, Plymouth, WI 53073-0031 | 2007-02-28 |
| Find all providers in PLYMOUTH | ||||
Please comment or provide details below to improve the information on SOUTH SHORE NEPHROLOGY, P.C..
| 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.