SOUTHCOAST PHYSICIANS GROUP, INC. (NPI# 1134664253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134664253 |
| Entity Type | Organization |
| Organization Name | SOUTHCOAST PHYSICIANS GROUP, INC. |
| Other Organization Name | SOUTHCOAST URGENT CARE CENTER - NORTH DARTMOUTH |
| Practice Address |
435 State Rd Unit F North Dartmouth MA 02747-4306 |
| Mailing Address |
200 Mill Rd Suite 180 Fairhaven MA 02719-5252 |
| Practice Telephone | 5089732432 |
| Practice Fax Number | 5089732435 |
| Mailing Telephone | 5089732000 |
| Mailing Fax Number | 5089732001 |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2016-12-28 |
| Authorized Official Name | KIMBERLEY COON (DIRECTOR, MEDICAL STAFF SVCS) |
| Authorized Official Telephone | 5089732000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MA | Allopathic & Osteopathic Physicians | |
| N | 207R00000X | Internal Medicine | MA | Allopathic & Osteopathic Physicians | |
| N | 208000000X | Pediatrics | MA | Allopathic & Osteopathic Physicians | |
| N | 208M00000X | Hospitalist | MA | Allopathic & Osteopathic Physicians | |
| Y | 207P00000X | Emergency Medicine | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110072422A | 05 | |
| RI | BM20689 | 05 | |
| MA | RAILROAD MEDICARE | CD2506 | 01 |
| RI | RAILROAD MEDICARE | DT1369 | 01 |
| Other Name | Type Code |
|---|---|
| Southcoast Urgent Care Center - North Dartmouth | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841787652 | Southcoast Physicians Group, Inc. | Family Medicine | 670 Aquidneck Avenue, Middletown, RI 02841 | 2018-04-17 |
| 1770090870 | Southcoast Physicians Group, Inc. | Family Medicine | 636 County St, Taunton, MA 02780-3604 | 2018-01-10 |
| 1235646332 | Southcoast Physicians Group, Inc. | Family Medicine | 374 William S Canning Blvd, Fall River, MA 02721-2352 | 2018-01-10 |
| 1306381421 | Southcoast Physicians Group, Inc. | Family Medicine | 37 Commerce Way, Seekonk, MA 02771-5816 | 2016-12-28 |
| 1336137629 | Southcoast Physicians Group, Inc. | Internal Medicine | 200 Mill Road, Suite 180, Fairhaven, MA 02719-5252 | 2005-10-11 |
| 1750869681 | Southcoast Physicians Group, Inc. | Audiologist | 200 Mill Rd Ste 180, Fairhaven, MA 02719-5255 | 2018-08-02 |
| 1700393808 | Southcoast Physicians Group, Inc. | Family Medicine | 12 Main St, Lakeville, MA 02347-1606 | 2018-01-10 |
| 1619413150 | Southcoast Physicians Group, Inc. | Family Medicine | 2421 Cranberry Hwy, Wareham, MA 02571-5021 | 2017-01-09 |
| 1346634052 | Southcoast Physicians Group, Inc. | Internal Medicine | 1030 President Ave, Suite 110, Fall River, MA 02720-5923 | 2015-03-20 |
| 1225421118 | Southcoast Physicians Group, Inc. | Physical Therapist | 479 Swansea Mall Dr, Swansea, MA 02777-4119 | 2015-03-17 |
| Street Address |
435 STATE RD UNIT F |
| City | NORTH DARTMOUTH |
| State | MA |
| Zip Code | 02747-4306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619432531 | Michelle Mulvey-sylvia | Nurse Practitioner | 237 State Road, Dartmouth, MA 02747 | 2019-02-05 |
| 1679078232 | Andrew Paul Macedo | Emergency Medical Technician, Basic | 80 Alpha Street, Dartmouth, MA 02747 | 2018-03-27 |
| 1255712378 | Courtney Mota Trevino | Optometrist | 83b Faunce Corner Rd, North Dartmouth, MA 02747 | 2015-06-15 |
| 1215323852 | Kara J. Kopaczewski | Family Medicine | 49 State Rd Pequot Bldg, Ste 204, North Dartmouth, MA 02747 | 2015-04-10 |
| 1427465368 | Glicksman-gomes, LLC | Dentist | 49 State Road Nauset Bldg., Dartmouth, MA 02747 | 2014-07-11 |
| 1033544846 | Blackstone Behavioral Health Services | Psychologist | 145k Faunce Corner Rd., North Dartmouth, MA 02747 | 2013-09-11 |
| 1477999894 | Christina Nicolau | Counselor | 145k Faunce Corner Road, North Dartmouth, MA 02747 | 2013-05-13 |
| 1770823882 | Wendy Stacy | Behavioral Analyst | 145 Fauce Corner Rd., N. Dartmouth, MA 02747 | 2013-02-26 |
| 1952653131 | Eye Health Associates Inc | Optometrist | 51 State Road, Dartmouth, MA 02747 | 2012-10-11 |
| 1265782866 | Helpful Hands, Inc | Home Health | 106a State Rd, N Dartmouth, MA 02747 | 2012-09-12 |
| Find all providers in zip 02747 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
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| 1255931937 | Skylight Health Group Ma PC | Emergency Medicine | 49 River St Ste 4, Waltham, MA 02453-8345 | 2020-10-30 |
| 1417508284 | Nuch of Massachusetts, LLC | Emergency Medicine | 81 Gold Star Blvd Ste 1, Worcester, MA 01606-2813 | 2019-09-24 |
| 1518523810 | Center for Vein Restoration Ma LLC | Emergency Medicine | 3640 Main St Ste 302, Springfield, MA 01107-1134 | 2019-05-13 |
| 1629555842 | Dispatchhealth Massachusetts PC | Emergency Medicine | 123 Park Ave, West Springfield, MA 01089-3337 | 2018-07-20 |
| 1366947954 | Karrin Weisenthal | Emergency Medicine | 1 Boston Pl Rm 1322, Boston, MA 02108 | 2018-03-27 |
| 1942705884 | Jillian Britt Duffy | Emergency Medicine | 1 Boston Medical Ctr Pl Rm 1322, Boston, MA 02118 | 2018-03-23 |
| 1316464621 | Katelyn Anne Brightman | Emergency Medicine | 30 Florence St, Somerville, MA 02145-4307 | 2017-08-28 |
| 1245760024 | Nicholas D. Kurtzman | Emergency Medicine | One Deaconess Road Rosenberg Building, 2nd Floor, Department of Emergency Medicine, Boston, MA 02215 | 2017-06-14 |
| 1821528746 | Daniel Lapidus | Emergency Medicine | 1963 Commonwealth Ave, Brighton, MA 02135-5937 | 2017-06-13 |
| 1942730007 | Alec John Koffer | Emergency Medicine | 1 Deaconess Rd Bldg 2nd, Boston, MA 02215-5321 | 2017-06-12 |
| Find all providers with the same taxonomy | ||||
| City | NORTH DARTMOUTH |
| Zip Code | 02747 |
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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.