SOUTHCOAST PHYSICIANS GROUP, INC. (NPI# 1902201536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902201536 |
| Entity Type | Organization |
| Organization Name | SOUTHCOAST PHYSICIANS GROUP, INC. |
| Practice Address |
300a Faunce Corner Rd North Dartmouth MA 02747-1280 |
| Mailing Address |
200 Mill Rd Suite 180 Fairhaven MA 02719-5252 |
| Practice Telephone | 5089731100 |
| Practice Fax Number | 5089731105 |
| Mailing Telephone | 5089732000 |
| Mailing Fax Number | 5089732001 |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |
| Authorized Official Name | TAMMY ZIZZO (DIRECTOR, CBO) |
| Authorized Official Telephone | 5089732044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| 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 |
| 1134664253 | Southcoast Physicians Group, Inc. | Family Medicine | 435 State Rd, Unit F, North Dartmouth, MA 02747-4306 | 2016-12-28 |
| 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 |
| Street Address |
300A FAUNCE CORNER RD |
| City | NORTH DARTMOUTH |
| State | MA |
| Zip Code | 02747-1280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043792898 | Sarah Anne Crowley | Nurse Practitioner | 300a Faunce Corner Rd, North Dartmouth, MA 02747-1280 | 2018-08-29 |
| 1619425295 | Rute I Lameiro | Nurse Practitioner | 300a Faunce Corner Rd, North Dartmouth, MA 02747-1280 | 2016-09-13 |
| 1780060889 | Kristen Meiggs | Nurse Practitioner | 300a Faunce Corner Rd, North Dartmouth, MA 02747-1280 | 2015-07-31 |
| 1245619972 | Devin Lynde Bean | Physician Assistant | 300a Faunce Corner Rd, North Dartmouth, MA 02747-1280 | 2015-05-27 |
| 1487045654 | Southcoast Physicians Group, Inc. | Internal Medicine | 300a Faunce Corner Rd, North Dartmouth, MA 02747-1280 | 2015-02-10 |
| 1871913061 | Yvonne Khazen | Physician Assistant | 300a Faunce Corner Rd, North Dartmouth, MA 02747-1280 | 2014-04-26 |
| 1104179613 | Laura C Lima | Nurse Practitioner | 300a Faunce Corner Rd, North Dartmouth, MA 02747-1280 | 2012-10-22 |
| 1396092698 | Qiu Ci Li | Physician Assistant | 300a Faunce Corner Rd, North Dartmouth, MA 02747-1280 | 2012-08-07 |
| 1285997734 | Mark Edmund Perry | Surgery | 300a Faunce Corner Rd, North Dartmouth, MA 02747-1280 | 2012-06-20 |
| 1801172259 | Aimee K. Gray, Od, LLC | Clinic/Center | 300a Faunce Corner Rd, Suite 101, North Dartmouth, MA 02747-1280 | 2011-10-31 |
| Find all providers in the same location | ||||
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700866548 | Matthew S Baltz | Orthopaedic Surgery | 300b Faunce Corner Rd, North Dartmouth, MA 02747-1257 | 2006-01-18 |
| 1104128909 | Christopher S Robertson | Orthopaedic Surgery | 300a Faunce Corner Rd, North Dartmouth, MA 02747-1280 | 2010-11-30 |
| 1396929550 | Victoria L Bruegel | Orthopaedic Surgery | 300c Faunce Corner Rd, North Dartmouth, MA 02747-1257 | 2007-12-24 |
| 1972579969 | Roger Pocze | Orthopaedic Surgery | 531 Faunce Corner Rd, North Dartmouth, MA 02747-1242 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212700 | Boston Prolotherapy & Orthopaedics, Pllc | Orthopaedic Surgery | 92 Montvale Ave Ste 4650, Stoneham, MA 02180-3631 | 2020-07-17 |
| 1609403146 | Thomas John Carroll | Orthopaedic Surgery | 224 Donald Ave, Somerset, MA 02726-5411 | 2020-03-25 |
| 1013557727 | University Orthopedics, Inc. | Orthopaedic Surgery | 10 Reservoir St, Mansfield, MA 02048-3104 | 2020-01-10 |
| 1659911618 | Orthopedic Care Physician Network, LLC | Orthopaedic Surgery | 1 Compass Way Ste 202, East Bridgewater, MA 02333-1466 | 2020-01-08 |
| 1457999351 | Orthopedic Care Physician Network LLC | Orthopaedic Surgery | 89 Forbes Blvd Ste 1000, Mansfield, MA 02048-1281 | 2019-12-11 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1871159848 | Andrew Moon | Orthopaedic Surgery | 45 Stuart St Apt 2117, Boston, MA 02116-4769 | 2019-05-15 |
| 1316411929 | Orthopedic Care Physician Network LLC Plymouth | Orthopaedic Surgery | 225 Water St Ste C105, Plymouth, MA 02360-4062 | 2019-01-16 |
| 1871070144 | Giuseppe Orlando | Orthopaedic Surgery | 850 Harrison Avenue, Dowling 2 North Bme, Boston, MA 02118 | 2018-07-19 |
| 1306339676 | Michael Adam Moverman | Orthopaedic Surgery | 19 Julie Rd, North Easton, MA 02356-2114 | 2018-06-12 |
| 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.