SOUTH SHORE DERMATOLOGY PHYSICIANS, P.C. (NPI# 1992988703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992988703 |
| Entity Type | Organization |
| Organization Name | SOUTH SHORE DERMATOLOGY PHYSICIANS, P.C. |
| Other Organization Name | SOUTH SHORE DERMATOLOGY PHYSICIANS PC |
| Practice Address |
31 Roche Bros Way Ste 200 North Easton MA 02356 |
| Practice Telephone | 5085353376 |
| Practice Fax Number | 5085353377 |
| Mailing Telephone | 5085353376 |
| Mailing Fax Number | 5085353377 |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | LYNN JOHNSON (OFFICE MANAGER) |
| Authorized Official Telephone | 5085353376 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bloomfield Dermatology | Doing Business As Name - Organization |
| SOUTH SHORE DERMATOLOGY PHYSICIANS PC | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 31 Roche Bros Way, Suite 200, North Easton, MA 023561032 | 5085353376 | 5085353377 |
| Street Address |
31 ROCHE BROS WAY STE 200 |
| City | NORTH EASTON |
| State | MA |
| Zip Code | 02356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730186693 | Padraic D Mccahill | Urology | 31 Roche Bros Way, Ste. 100, North Easton, MA 02356-1032 | 2005-07-06 |
| 1194374751 | Jennifer S Goldblatt | Nurse Practitioner | 31 Roche Bros Way, North Easton, MA 02356-1032 | 2019-09-06 |
| 1275064909 | Gbu Steward LLC | Urology | 31 Roche Bros Way, Unit 100, North Easton, MA 02356-1032 | 2017-03-24 |
| 1508312562 | Kerri Liska | Physician Assistant | 31 Roche Bros Way, Suite 200, North Easton, MA 02356-1032 | 2016-08-30 |
| 1902287998 | Yiran Xu | Obstetrics & Gynecology | 31 Roche Bros Way, North Easton, MA 02356-1032 | 2015-06-15 |
| 1477855237 | Greater Boston Urology, LLC | Urology | 31 Roche Bros Way, Suite 100, North Easton, MA 02356-1032 | 2010-11-30 |
| 1083933550 | Leena Mayuresh Rajwadkar | Pediatrics | 31 Roche Bros Way, North Easton, MA 02356-1032 | 2010-05-24 |
| 1184851826 | Lindsay Eminger | Dermatology | 31 Roche Bros Way, Suite 200, North Easton, MA 02356-1032 | 2009-06-21 |
| 1093949232 | Kathleen Marie Petillo | Pediatrics | 31 Roche Bros Way, North Easton, MA 02356 | 2009-05-01 |
| 1558526194 | Huma Masood | Internal Medicine | 31 Roche Bros Way, North Easton, MA 02356-1032 | 2008-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174005110 | Easton Eye Consultants, PC | Optometrist | Easton Eye Consultants, 15 Roche Bros Way Suite 100, North Easton, MA 02356 | 2018-09-06 |
| 1366932386 | Thomas Joseph Clarke | Psychologist | 171 Poquanticut Avenue, North Easton, MA 02356 | 2018-05-15 |
| 1821509985 | Ariel Hovland | Physical Therapist | 2 Belmont Street, Easton, MA 02356 | 2017-10-17 |
| 1326109968 | Gregory Peter Perron | Chiropractor | 990 Pleasant St, Brockton, MA 02356 | 2006-12-13 |
| 1326116153 | Linda J Mcgettigan | Acupuncturist | The Village Acupuncturist, 115 Main St. Suite 2c, North Easton, MA 02356 | 2006-12-01 |
| 1841306198 | Thomas Francis Herlihy Iv | Dentist | 191 Washington St, North Easton, MA 02356 | 2006-08-21 |
| 1801864335 | Thane Nolan Turner | Family Medicine | 3 Washington St Ste 220, North Easton, MA 02356 | 2006-03-10 |
| 1942283577 | Judith S Colandreo | Physical Therapist | 15 Roche Bros. Way, North Easton, MA 02356 | 2005-11-29 |
| 1275514143 | Stanley M Leitzes | Orthopaedic Surgery | 15 Roche Bros Way, Orthopedic Care Specialists, Inc, North Easton, MA 02356 | 2005-11-08 |
| 1689144214 | Sarah Beth Krajewski | Advanced Practice Midwife | 31 Roche Brothers Way, North Easton, MA 02356 | 2018-11-27 |
| Find all providers in zip 02356 | ||||
| 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 |
|---|---|---|---|---|
| 1184851826 | Lindsay Eminger | Dermatology | 31 Roche Bros Way, Suite 200, North Easton, MA 02356-1032 | 2009-06-21 |
| 1750576351 | Christine Urman | Dermatology | 31 Roche Bros Way, Suite 200, North Easton, MA 02356-1032 | 2007-09-07 |
| 1023022522 | Amy S Chang | Dermatology | 31 Roche Bros Way, Suite 200, North Easton, MA 02356-1032 | 2006-07-28 |
| 1952374209 | Leera M Briceno | Dermatology | 31 Roche Bros Way, Suite 200, North Easton, MA 02356-1032 | 2006-02-08 |
| 1982695573 | Daniel S Loo | Dermatology | 31 Roche Bros Way, Suite 200, North Easton, MA 02356-1032 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669090445 | Peter T Demos Md | Dermatology | 125 Liberty St Ste 206, Springfield, MA 01103-1109 | 2020-07-08 |
| 1376180760 | Integrated Dermatology of Needham, LLC | Dermatology | 60 Dedham Ave Ste 206, Needham, MA 02492-3061 | 2019-12-04 |
| 1164069647 | Integrated Dermatology of Mashton, LLC | Dermatology | 800 Falmouth Rd Ste 101, Mashpee, MA 02649-3303 | 2019-12-04 |
| 1972164937 | Kuchnir Realty, LLC | Dermatology | 11 Apex Dr Ste 103a, Marlborough, MA 01752-1860 | 2019-06-21 |
| 1265098032 | Mark Amster Derm | Dermatology | 800 Falmouth Rd Ste 101b, Mashpee, MA 02649-3352 | 2019-05-16 |
| 1831684224 | Chotinij Lertphanichkul | Dermatology | 850 Boylston St Ste 437, Chestnut Hill, MA 02467-2405 | 2018-06-27 |
| 1023515277 | Vibrant Dermatology Pllc | Dermatology | 588 Providence Hwy, Dedham, MA 02026-6804 | 2018-04-12 |
| 1437665908 | Kuchnir Dermatology, PC | Dermatology | 20 Hope Ave Ste 105, Waltham, MA 02453-2717 | 2017-12-20 |
| 1265941082 | Integrated Dermatology Group, LLC | Dermatology | 280 Washington St Ste 212, Brighton, MA 02135-3511 | 2017-09-25 |
| 1679098750 | Avant-garde Medical LLC | Dermatology | 62 Pleasant St, Natick, MA 01760-5634 | 2017-08-09 |
| Find all providers with the same taxonomy | ||||
| City | NORTH EASTON |
| Zip Code | 02356 |
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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.