SOUTH SHORE HEALTH EXPRESS, INC (NPI# 1477044212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477044212 |
| Entity Type | Organization |
| Organization Name | SOUTH SHORE HEALTH EXPRESS, INC |
| Practice Address |
55 Fogg Rd Weymouth MA 02190 |
| Mailing Address |
55 Fogg Rd Weymouth MA 02190-2432 |
| Practice Telephone | 7816248000 |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-06-04 |
| Authorized Official Name | STEPHEN COCO (SVP/CFO) |
| Authorized Official Telephone | 7816248422 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 117 Old Church St, Pembroke, MA 023591969 | 7816248000 | |
| 119 Parkingway, Quincy, MA 021695044 | 7816248000 | |
| 170 Bedford St, Abington, MA 023512068 | 7816248000 | |
| 182 Summer St # 1277, Kingston, MA 023641277 | 7816248000 | |
| 330 Washington St, Weymouth, MA 021882932 | 7816248000 | |
| 59 Long Pond Rd, Plymouth, MA 023602670 | 7816248000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487203246 | South Shore Health Express, Inc | Clinic/Center | 310 Grove St, Braintree, MA 02184-7224 | 2019-09-05 |
| 1033602099 | South Shore Health Express, Inc | Clinic/Center | 182 Summer St # 1277, Kingston, MA 02364-1277 | 2018-06-13 |
| 1144713199 | South Shore Health Express, Inc | Clinic/Center | 119 Parkingway, Quincy, MA 02169-5044 | 2018-06-13 |
| 1922591981 | South Shore Health Express, Inc | Clinic/Center | 59 Long Pond Rd, Plymouth, MA 02360-2670 | 2018-06-13 |
| 1215420260 | South Shore Health Express, Inc | Clinic/Center | 170 Bedford St, Abington, MA 02351-2068 | 2018-06-13 |
| 1205329265 | South Shore Health Express, Inc | Clinic/Center | 330 Washington St, Weymouth, MA 02188-2932 | 2018-06-13 |
| 1184116493 | South Shore Health Express, Inc | Clinic/Center | 117 Old Church St, Pembroke, MA 02359 | 2018-06-01 |
| Street Address |
55 FOGG RD |
| City | WEYMOUTH |
| State | MA |
| Zip Code | 02190 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740767060 | Convenientmd LLC | Clinic/Center | 2 Pond Street, Weymouth, MA 02190 | 2018-07-20 |
| 1205329265 | South Shore Health Express, Inc | Clinic/Center | 330 Washington St, Weymouth, MA 02188-2932 | 2018-06-13 |
| 1952725756 | Massachusetts Express Care Pllc | Clinic/Center | 330 Washington Street, Weymouth, MA 02188 | 2014-02-13 |
| 1053692327 | Health Express LLC | Clinic/Center | 330 Washington St, Weymouth, MA 02188-2932 | 2011-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879651 | Convenientmd LLC | Clinic/Center | 983 Boston-providence Turnpike, Dedham, MA 02026 | 2020-10-21 |
| 1811596216 | Convenientmd LLC | Clinic/Center | 181 Cambridge St, Burlington, MA 01803-2922 | 2020-10-19 |
| 1326669151 | Partners Urgent Care LLC | Clinic/Center | 480 Lynnfield St Ste 1a, Lynn, MA 01904-1419 | 2020-05-04 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1992342075 | Lynn Urgent Care LLC | Clinic/Center | 776 Western Ave, Lynn, MA 01905-2408 | 2019-12-08 |
| 1457902892 | Convenientmd LLC | Clinic/Center | 296 Old Oak Street, Pembroke, MA 02359 | 2019-09-26 |
| 1487203246 | South Shore Health Express, Inc | Clinic/Center | 310 Grove St, Braintree, MA 02184-7224 | 2019-09-05 |
| 1124676598 | Convenientmd LLC | Clinic/Center | 236 Cochituate Rd, Framingham, MA 01701-4627 | 2019-08-29 |
| 1144782467 | Partners Urgent Care, LLC | Clinic/Center | 90 Brigham Way, Westwood, MA 02090 | 2019-04-04 |
| 1942761564 | Convenientmd LLC | Clinic/Center | 245 Hartford Ave, Bellingham, MA 02019-3007 | 2019-03-27 |
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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.