SOUTH SHORE MEDICAL CENTER, INC (NPI# 1285112052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285112052 |
| Entity Type | Organization |
| Organization Name | SOUTH SHORE MEDICAL CENTER, INC |
| Practice Address |
143 Longwater Dr Norwell MA 02061-1683 |
| Mailing Address |
141 Longwater Dr Ste 201 Norwell MA 02061-1620 |
| Practice Telephone | 7818785200 |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |
| Authorized Official Name | MARIANNE CAPUTO (PROVIDER ENROLLMENT SUPERVISOR) |
| Authorized Official Telephone | 7817924136 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTH SHORE MEDICAL CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275655409 | South Shore Medical Center, Inc | Orthopaedic Surgery | 75 Washngton Street, South Shore Medical Center, Inc, Norwell, MA 02061-9147 | 2007-04-06 |
| 1033778824 | South Shore Medical Center, Inc | Allergy & Immunology | 143 Longwater Dr, Norwell, MA 02061-1683 | 2019-06-06 |
| 1902976798 | South Shore Medical Center, Inc | Psychologist | 75 Washington St, Norwell, MA 02061-9147 | 2006-11-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | SOUTH SHORE MEDICAL CENTER, INC. | 75 Washington Street, Norwell, MA 02061 |
| Street Address |
143 LONGWATER DR |
| City | NORWELL |
| State | MA |
| Zip Code | 02061-1683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560488 | Scott P. Corkins | Family Medicine | 143 Longwater Dr, South Shore Medcal Center, Inc, Norwell, MA 02061-1683 | 2005-07-07 |
| 1427671601 | Kimberly Hope Azulay | Nurse Practitioner | 143 Longwater Dr, Norwell, MA 02061-1683 | 2020-05-22 |
| 1033778824 | South Shore Medical Center, Inc | Allergy & Immunology | 143 Longwater Dr, Norwell, MA 02061-1683 | 2019-06-06 |
| 1154885606 | Lindsay Verraster | Dietitian, Registered | 143 Longwater Dr, Norwell, MA 02061-1683 | 2019-01-29 |
| 1528597267 | Allyson Julia Gutstein | Pediatrics | 143 Longwater Dr, Norwell, MA 02061-1683 | 2017-06-07 |
| 1760913271 | Julia M. Vu | Family Medicine | 143 Longwater Dr, Norwell, MA 02061-1683 | 2017-03-26 |
| 1134673346 | Patrick Joseph Welch | Physician Assistant | 143 Longwater Dr, Norwell, MA 02061-9147 | 2016-08-05 |
| 1811356132 | Erica Moses | Registered Nurse | 143 Longwater Dr, Norwell, MA 02061 | 2016-02-15 |
| 1710360136 | Emily Mcphee | Dietitian, Registered | 143 Longwater Dr, Norwell, MA 02061-1683 | 2015-07-02 |
| 1164838926 | Erin M Anderson | Physician Assistant | 143 Longwater Dr, Norwell, MA 02061-1683 | 2014-07-01 |
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|---|---|---|---|---|
| 1215561113 | Adaptive Design for Living, LLC | Occupational Therapist | 53 Cushing Hill Road, Norwell, MA 02061 | 2020-02-28 |
| 1578116471 | Alyssa Beth Matthews | Behavior Technician | Proven Behavioral Solutions, 80 Washington Street Building P55, Norwell, MA 02061 | 2019-07-19 |
| 1225524986 | John Michael Mullen | Counselor | 384 Washington Street, Norwell, MA 02061 | 2018-07-06 |
| 1669973947 | Brittany White | Counselor | 200 Corwainer Dr, Suite 200, Norwell, MA 02061 | 2018-02-22 |
| 1720525470 | Nathaniel Chan Dmd PC | Dentist | 353 Washington Street, Norwell, MA 02061 | 2017-01-19 |
| 1053786707 | Proven Behavior Solutions, LLC | Behavioral Analyst | 80 Washington St Ste P55, Norwell, MA 02061 | 2015-12-07 |
| 1922405547 | Elizabeth Goggin | Speech-Language Pathologist | 329 Washington Street, Royal Norwell, Norwell, MA 02061 | 2014-11-25 |
| 1215332473 | Nicole Cisneros Pegher | Midwife | 164 Washington St Ste 104, Norwell, MA 02061 | 2014-10-30 |
| 1073918348 | Hingham Pediatric Dentistry, PC | Dentist | 45 Pond Street, Norwell, MA 02061 | 2014-10-29 |
| 1669874954 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 40 Accord Park Dr, Suite 104, Norwell, MA 02061 | 2014-09-18 |
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| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1689007908 | Convivial Dental PC | Clinic/Center | 1244 Boylston St Ste 205, Chestnut Hill, MA 02467-2115 | 2013-08-11 |
| 1265873582 | New England Muscular Therapy, LLC | Clinic/Center | 1458 Hancock St, Suite 220, Quincy, MA 02169-5214 | 2013-07-15 |
| 1558613026 | Salud Spine Joint and Wellness Center | Clinic/Center | 651 Orchard Street, Suite 202a, New Bedford, MA 02744 | 2012-10-09 |
| 1932455193 | Np House/clinic Calls, LLC | Clinic/Center | 31 Eric Dr, Pittsfield, MA 01201-8324 | 2012-07-25 |
| 1508082710 | Saltz Schulman & Gershengorn Ptr Cardiology Associates | Clinic/Center | 1101 Beacon St Fl 4, Brookline, MA 02446-5587 | 2007-04-17 |
| 1407079759 | North Shore Rehabilitation Associates Inc. | Clinic/Center | 121 Broad Street, Lynn, MA 01901-1629 | 2007-04-11 |
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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.