SP GANGULY MD PC (NPI# 1164649315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164649315 |
| Entity Type | Organization |
| Organization Name | SP GANGULY MD PC |
| Practice Address |
55 Fogg Rd Weymouth MA 02190-2432 |
| Mailing Address |
944 Washington St Suite 1 South Easton MA 02375-1177 |
| Practice Telephone | 7813408000 |
| Mailing Telephone | 5082388646 |
| Mailing Fax Number | 5082309772 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2013-04-05 |
| Authorized Official Name | SYAMA GANGULY (PRESIDENT) |
| Authorized Official Telephone | 5082388646 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 32940 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9734341 | 05 | |
| MA | BLUE SHIELD | M21884 | 01 |
| Street Address |
55 FOGG RD |
| City | WEYMOUTH |
| State | MA |
| Zip Code | 02190-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922626233 | Susan Duty | Registered Nurse | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2020-07-13 |
| 1104443670 | Olivia Sennett | Social Worker | 55 Fogg Rd, Weymouth, MA 02190-2455 | 2020-07-01 |
| 1962028290 | Kristin M Gerritsen | Counselor | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2020-06-23 |
| 1972142834 | Shannon Badgett | Social Worker | 55 Fogg Rd, Weymouth, MA 02190-2455 | 2019-12-24 |
| 1487298865 | Colleen Marie Sullivan | Counselor | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2019-10-29 |
| 1164073144 | Hilary Margaret Flynn | Nurse Practitioner | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2019-09-22 |
| 1922658863 | Heather Kathryn Ewell | Social Worker | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2019-09-12 |
| 1043870793 | Lindsey Burke | Nurse Anesthetist, Certified Registered | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2019-06-15 |
| 1699237008 | Kendall Jasinski | Social Worker | 55 Fogg Rd, Weymouth, MA 02190-2455 | 2019-04-03 |
| 1467925198 | Alexandra Mckelvey | Physician Assistant | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2019-01-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702261 | Maureen L. Colella | Dentist | 33 Union St., So. Weymouth, MA 02190 | 2019-10-25 |
| 1740767060 | Convenientmd LLC | Clinic/Center | 2 Pond Street, Weymouth, MA 02190 | 2018-07-20 |
| 1437654399 | Swati Malik | Dentist | 174 Stonehaven Dr, South Weymouth, MA 02190 | 2018-03-24 |
| 1720496995 | Iona Dental, P.C. | Dentist | 1650 Main St., South Weymouth, MA 02190 | 2014-07-31 |
| 1497094411 | Cecilia R Briggs | Registered Nurse | 541 Main St Ste 414, South Weymouth, MA 02190 | 2013-02-12 |
| 1548523657 | Khaldoun Haj Mahmoud | Internal Medicine | Coastal Medical Associates, 55 Fogg Road, Weymouth, MA 02190 | 2012-06-22 |
| 1881992170 | Megan Elizabeth Lee | Physician Assistant | 851 Main Street, Suite 6, South Shore Neurospine, South Weymouth, MA 02190 | 2011-03-10 |
| 1790082253 | Bonnie Marie Kimball | Counselor | 549 Columbian Street, Weymouth, MA 02190 | 2011-02-18 |
| 1689805731 | Jane Marie Boomer | Early Intervention Provider Agency | 574 Main Street, Weymouth, MA 02190 | 2009-08-06 |
| 1619101136 | Jordan D Paulson | Psychiatry & Neurology | 55 Fogg Rd # 105, Weymouth, MA 02190 | 2009-05-12 |
| Find all providers in zip 02190 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548403165 | Cristina Carpio | Surgery | 51 Performance Drive/entry Two 3rd Floor, Brigham and Women's Surgical Associates, Weymouth, MA 02189-0000 | 2009-04-13 |
| 1427006097 | Christian Hobart Corwin | Surgery | 51 Performance Dr, Weymouth, MA 02189-3141 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776123 | Dalton Medical Group LLC | Surgery | 352 Main St Unit 6, Falmouth, MA 02540-3175 | 2020-10-07 |
| 1689281610 | Cornell Medical LLC | Surgery | 200 Unicorn Park Dr Ste 302, Woburn, MA 01801-3342 | 2020-09-24 |
| 1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
| 1427546365 | New England Hernia Center LLC | Surgery | 20 Research Pl Ste 130, North Chelmsford, MA 01863-2455 | 2018-04-26 |
| 1255869731 | Yurie Sekigami | Surgery | 800 Washington St, Box 437, Boston, MA 02111-1552 | 2017-05-30 |
| 1194263046 | Wound Care Specialists | Surgery | 785 Williams St # 172, Longmeadow, MA 01106-2063 | 2017-02-10 |
| 1932550670 | Asish C Misra | Surgery | 110 Francis St, Suite 9b, Beth Israel Deaconess - Surgical Education, Boston, MA 02215 | 2016-06-23 |
| 1306295225 | Michael Hong Jr. | Surgery | 100 Jersey St Apt 601, Boston, MA 02215-4806 | 2016-06-10 |
| 1043666548 | North Suburban Surgical Associates | Surgery | 191 Clifton St, Belmont, MA 02478-2603 | 2016-05-13 |
| 1295110971 | Benjamin Grajales Mdpc | Surgery | 50 Memorial Dr Ste 204, Leominster, MA 01453-2238 | 2015-07-23 |
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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.