Stephen G Werth (NPI# 1093762734, PAC ID# 6204873151) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1093762734 |
| PAC ID by PECOS | 6204873151 |
| Professional Enrollment ID | I20050412000786 |
| Full Name | Stephen G Werth |
| Organization Legal Name | ASSOCIATES OF SOUTH SHORE DERMATOLOGY LLC |
| Address |
300 Congress St Suite 408 Quincy MA 02169-0907 |
| Phone Number | 6177737431 |
| Gender | M |
| Credential | MD |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2961623301 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220108 | BETH ISRAEL DEACONESS HOSPITAL - MILTON |
| Address | Phone | Organization |
|---|---|---|
| 199 Reedsdale Rd, Suite 226, Milton, MA 02186-3926 | 6176965300 | ASSOCIATES OF SOUTH SHORE DERMATOLOGY LLC |
| 300 Congress St, Suite 408, Quincy, MA 02169-0907 | 6177737431 | ASSOCIATES OF SOUTH SHORE DERMATOLOGY LLC |
| Organization Legal Name | ASSOCIATES OF SOUTH SHORE DERMATOLOGY LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Antoin J Deschrijver | Physician Assistant | Associates of South Shore Dermatology LLC | 300 Congress St, Suite 408, Quincy, MA 02169-0907 |
| Abby N Picard | Physician Assistant | Associates of South Shore Dermatology LLC | 300 Congress St, Suite 408, Quincy, MA 02169-0907 |
| Rhianna R Flanagan | Physician Assistant | Associates of South Shore Dermatology LLC | 300 Congress St, Quincy, MA 02169-0907 |
| Street Address |
300 CONGRESS ST SUITE 408 |
| City | QUINCY |
| State | MA |
| Zip | 02169-0907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary C Kimball | Physical Therapy | South Shore Sports and Muscular | 300 Congress St, Quincy, MA 02169-0907 |
| H David Tabaie | Optometry | Nielsen Eye Center, Inc. | 300 Congress St, Suite 201, Quincy, MA 02169-0907 |
| Xiang Q. Werdich | Ophthalmology | Nielsen Eye Center, Inc. | 300 Congress St, Suite 201, Quincy, MA 02169-0907 |
| Travis E Schoen | Physical Therapy | South Shore Sports and Muscular | 300 Congress St, Quincy, MA 02169-0907 |
| Yan Tan | Internal Medicine | 300 Congress St, Suite 203, Quincy, MA 02169-0907 | |
| Zachary M Homa | Obstetrics/gynecology | Crown Obstetrics and Gynecology PC | 300 Congress St, Suite 102, Quincy, MA 02169-0907 |
| Lily Ng | Optometry | Nielsen Eye Center, Inc. | 300 Congress St, Suite 201, Quincy, MA 02169-0907 |
| Helen Rego Moreira | Ophthalmology | Nielsen Eye Center, Inc. | 300 Congress St, Suite 201, Quincy, MA 02169-0907 |
| Stephen A Gulczynski | Physical Therapy | South Shore Sports and Muscular | 300 Congress St, Quincy, MA 02169-0907 |
| Elizabeth A Drumm | Obstetrics/gynecology | Crown Obstetrics and Gynecology PC | 300 Congress St, Suite 102, Quincy, MA 02169-0907 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Hannon Baron | Certified Nurse Midwife | South Shore Ob-gyn Hanover Ob-gyn Inc. | 21 Mayor Mcgrath Hwy, Quincy, MA 02169 |
| Camden Marcotte | Physical Therapy | Peak Physical Therapy Inc | 2300 Crown Colony Dr, Suite 102, Quincy, MA 02169-0902 |
| Cynthia Wisted | Physical Therapy | Peak Physical Therapy Inc | 2300 Crown Colony Dr, Suite 102, Quincy, MA 02169-0902 |
| Kaylee Lecavalier | Physical Therapy | Peak Physical Therapy Inc | 2300 Crown Colony Dr, Suite 102, Quincy, MA 02169-0902 |
| Samuel Kushner | Physical Therapy | Peak Physical Therapy Inc | 2300 Crown Colony Dr, Suite 102, Quincy, MA 02169-0902 |
| Donna Chiao | Physical Therapy | Peak Physical Therapy Inc | 2300 Crown Colony Dr, Suite 102, Quincy, MA 02169-0902 |
| Kellie Fokin | Physical Therapy | Peak Physical Therapy Inc | 2300 Crown Colony Dr, Suite 102, Quincy, MA 02169-0902 |
| Matthew Haley | Physical Therapy | Peak Physical Therapy Inc | 2300 Crown Colony Dr, Suite 102, Quincy, MA 02169-0902 |
| Zachary Wagner | Physical Therapy | Peak Physical Therapy Inc | 2300 Crown Colony Dr, Suite 102, Quincy, MA 02169-0902 |
| Richard V Mazzaferro | Physical Medicine and Rehabilitation | 300 Congress St, Suite 304, Quincy, MA 02169-0907 | |
| Find all physicians in zip 02169 | |||
| City | QUINCY |
| Zip Code | 02169 |
| Specialty | DERMATOLOGY |
| City + Specialty | QUINCY + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.