ASSOCIATES OF SOUTH SHORE DERMATOLOGY LLC (NPI# 1710387386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710387386 |
| Entity Type | Organization |
| Organization Name | ASSOCIATES OF SOUTH SHORE DERMATOLOGY LLC |
| Practice Address |
300 Congress St Ste 408 Quincy MA 02169-0907 |
| Mailing Address |
300 Congress St Ste 408 Quincy MA 02169 |
| Practice Telephone | 6177737431 |
| Practice Fax Number | 6177739592 |
| Mailing Telephone | 6177737431 |
| Mailing Fax Number | 6177739592 |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-17 |
| Authorized Official Name | DR. STEPHEN G WERTH (OWNER) |
| Authorized Official Telephone | 6177737431 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 73556 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962899534 | Associates of South Shore Dermatology LLC | Dermatology | 300 Congress St, Ste 408, Quincy, MA 02169-0907 | 2015-04-22 |
| Street Address |
300 CONGRESS ST STE 408 |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-0907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477554251 | Steven A Nielsen | Ophthalmology | 300 Congress St, Suite 201, Quincy, MA 02169-0907 | 2005-08-03 |
| 1477198547 | Myung Nicholson | Massage Therapist | 300 Congress St, Quincy, MA 02169-0907 | 2019-11-13 |
| 1720511934 | United Prosthetics Inc | Prosthetic/Orthotic Supplier | 300 Congress St, Suite 404, Quincy, MA 02169-0907 | 2017-04-05 |
| 1962899534 | Associates of South Shore Dermatology LLC | Dermatology | 300 Congress St, Ste 408, Quincy, MA 02169-0907 | 2015-04-22 |
| 1215326384 | United Diagnostics | Clinic/Center | 300 Congress St, Suite 206, Quincy, MA 02169-0907 | 2015-01-13 |
| 1649671876 | Laura Francoeur | Clinical Nurse Specialist | 300 Congress St, Suite 102, Quincy, MA 02169-0907 | 2014-09-08 |
| 1669713830 | Andrea L Mazzaferro | Physical Therapist | 300 Congress St, Suite 301, Quincy, MA 02169-0907 | 2013-03-12 |
| 1487924239 | Crown Obstetrics and Gynecology | Obstetrics & Gynecology | 300 Congress St, Suite 102, Quincy, MA 02169-0907 | 2012-01-11 |
| 1396974812 | Helen Rego Moreira | Ophthalmology | 300 Congress St, Suite 200, Quincy, MA 02169-0907 | 2009-07-06 |
| 1508000803 | Jaime Daunt Kullak | Nurse Practitioner | 300 Congress St, 102, Quincy, MA 02169-0907 | 2009-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801048921 | Katie Brouillard O'brien | Dermatology | 36 Adams Street, Quincy, MA 02169 | 2008-10-21 |
| 1942406210 | Associates of South Shore Dermatology | Dermatology | 5oo Congress St, 2h, Quincy, MA 02169 | 2007-06-25 |
| 1013122167 | William J. Hanshaw, M.d., P.C. | Dermatology | 903 Vermont St, Quincy, IL 62301-3049 | 2007-05-11 |
| 1629003686 | Elise Bilodeau Mccarthy | Dermatology | 36 Adams St, Quincy, MA 02169-2002 | 2006-07-11 |
| 1902870876 | William J Hanshaw | Dermatology | 903 Vermont Street, Quincy, IL 62301 | 2006-02-15 |
| 1750862611 | Sara Balakrishnan | Dermatology | 36 Adams St, Quincy, MA 02169-2002 | 2018-08-28 |
| 1467932251 | Integrated Dermatology of Massachusetts, LLC | Dermatology | 500 Congress St Ste B1, Quincy, MA 02169-0917 | 2018-08-21 |
| 1477937480 | Dermasap Pllc | Dermatology | 500 Congress St, B1, Quincy, MA 02169-0908 | 2015-07-20 |
| 1962899534 | Associates of South Shore Dermatology LLC | Dermatology | 300 Congress St, Ste 408, Quincy, MA 02169-0907 | 2015-04-22 |
| 1558756759 | Atrius Health, Inc. | Dermatology | 500 Congress St, Suite 3c, Quincy, MA 02169-0908 | 2015-04-03 |
| Find all providers in QUINCY | ||||
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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.