MARYANNE C BOMBAUGH (NPI# 1962477224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962477224 |
| Entity Type | Individual |
| Full Name | MARYANNE C BOMBAUGH |
| Credential | M.D. |
| Practice Address |
118 Long Pond Rd Plymouth MA 02360-2662 |
| Mailing Address |
107 Commercial St Mashpee MA 02649-6507 |
| Practice Telephone | 5088303190 |
| Practice Fax Number | 7813403782 |
| Mailing Telephone | 5085396000 |
| Mailing Fax Number | 5084777028 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2016-07-28 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 75493 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
118 LONG POND RD |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-2662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043825805 | Ann Michelle Connors | Counselor | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2020-09-09 |
| 1942853015 | Lydia Brejcha | Counselor | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2019-07-18 |
| 1639645526 | Jocelyn Monti | Counselor | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2018-10-17 |
| 1154819837 | Jonathon Blackwell | Counselor | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2018-04-27 |
| 1225532948 | Debra Jean Walsh | Massage Therapist | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2018-03-19 |
| 1306374947 | Edwin Mendez | Marriage & Family Therapist | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2017-05-26 |
| 1730537606 | Amele Pam | Counselor | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2016-06-01 |
| 1023495710 | Erin Newcomb | Counselor | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2015-05-01 |
| 1972908853 | Meghan Mccallum | Counselor | 118 Long Pond Rd, Suite 102, Plymouth, MA 02360-2662 | 2014-11-04 |
| 1700286119 | Cheryl West | Social Worker | 118 Long Pond Rd, Suite 105, Plymouth, MA 02360-2662 | 2014-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083056873 | Jordan Physician Associates, Inc | Obstetrics & Gynecology | 46 Obery Street, Plymouth, MA 02360 | 2013-07-23 |
| 1205046646 | Merida A Miller | Obstetrics & Gynecology | 4155 Cty Rd 101 N, Plymouth, MN 55446 | 2007-05-23 |
| 1376686832 | Sanford E Leslie | Obstetrics & Gynecology | 147 Court St, Plymouth, MA 02360-3807 | 2007-02-15 |
| 1114083045 | Joel J Baron | Obstetrics & Gynecology | 2 Driftwood Ln, Plymouth, MA 02360-2094 | 2006-12-28 |
| 1275693772 | Deborah S Wooten-angelo | Obstetrics & Gynecology | 101 Court St, 4th Floor Unit 8, Plymouth, MA 02360-8718 | 2006-12-12 |
| 1598785073 | Bora Ozguler | Obstetrics & Gynecology | 16510 Pretty Lake Rd, Suite 106, Plymouth, IN 46563-8264 | 2006-07-20 |
| 1508817891 | Juliann Corsini | Obstetrics & Gynecology | 110 Long Pond Road, Suite 101, Plymouth, MA 02360 | 2006-05-12 |
| 1982688008 | John Ray Addy | Obstetrics & Gynecology | 13200 Cambridge Ct, Plymouth, MI 48170-3099 | 2005-12-01 |
| 1356324057 | Plymouth Ob-gyn Associates Inc | Obstetrics & Gynecology | 101 Long Pond Road, Suite 101, Plymouth, MA 02360 | 2005-11-28 |
| 1932196409 | Noreen C Faulkner | Obstetrics & Gynecology | 1919 Lake Ave Ste 106, Plymouth, IN 46563-7830 | 2005-09-30 |
| Find all providers in PLYMOUTH | ||||
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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.