SOUTH SHORE HOSPITAL (NPI# 1215384672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215384672 |
| Entity Type | Organization |
| Organization Name | SOUTH SHORE HOSPITAL |
| Practice Address |
55 Fogg Rd South Weymouth MA 02190-2432 |
| Mailing Address |
44 Harvest Ln Milford CT 06461-1705 |
| Practice Telephone | 7816248000 |
| Mailing Telephone | 2036239992 |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |
| Authorized Official Name | ANGELA CRAMER (SURGICAL PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 2036239992 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508320391 | South Shore Hospital | Clinic/Center | 2 Pond Park Rd, Hingham, MA 02043-4347 | 2019-01-25 |
| 1831235753 | South Shore Hospital | Internal Medicine | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2007-01-29 |
| 1164593166 | South Shore Hospital | Home Health | 100 Bay State Drive, Braintree, MA 02184-9060 | 2006-11-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTH SHORE HOSPITAL CORPORATION | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| New York State Corporations | SOUTH SHORE HOSPITALITY GROUP LLC | 121 Cedar Ave, Islip, Ny 11751 |
| Street Address |
55 FOGG RD |
| City | SOUTH WEYMOUTH |
| State | MA |
| Zip Code | 02190-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699773135 | Joseph M. Lenehan | Surgery | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2005-07-08 |
| 1326645953 | Anna-lisa Abbatangelo Kilduff | Nurse Practitioner | 55 Fogg Rd, South Weymouth, MA 02190-2455 | 2020-10-06 |
| 1740801299 | Travis Cory Caldarone | Nurse Anesthetist, Certified Registered | 55 Fogg Rd, South Weymouth, MA 02190-2455 | 2020-05-06 |
| 1114566114 | Michelle Upton | Social Worker | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2019-12-23 |
| 1205483989 | Melissa Anne Dinunno | Advanced Practice Midwife | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2019-08-19 |
| 1871076554 | Mildred Mccarthy | Social Worker | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2018-09-10 |
| 1649753302 | Heather Lynn Hartigan | Hospitalist | 55 Fogg Rd, South Weymouth, MA 02190-2455 | 2018-09-10 |
| 1659852135 | Stephanie Cate Cully | Social Worker | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2018-08-23 |
| 1427535483 | Christine Dundon | Registered Nurse | 55 Fogg Rd, South Weymouth, MA 02190-2455 | 2018-07-23 |
| 1174015879 | Baotran Trannguyen | Physician Assistant | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2018-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702261 | Maureen L. Colella | Dentist | 33 Union St., So. Weymouth, MA 02190 | 2019-10-25 |
| 1740767060 | Convenientmd LLC | Clinic/Center | 2 Pond Street, Weymouth, MA 02190 | 2018-07-20 |
| 1437654399 | Swati Malik | Dentist | 174 Stonehaven Dr, South Weymouth, MA 02190 | 2018-03-24 |
| 1720496995 | Iona Dental, P.C. | Dentist | 1650 Main St., South Weymouth, MA 02190 | 2014-07-31 |
| 1497094411 | Cecilia R Briggs | Registered Nurse | 541 Main St Ste 414, South Weymouth, MA 02190 | 2013-02-12 |
| 1548523657 | Khaldoun Haj Mahmoud | Internal Medicine | Coastal Medical Associates, 55 Fogg Road, Weymouth, MA 02190 | 2012-06-22 |
| 1881992170 | Megan Elizabeth Lee | Physician Assistant | 851 Main Street, Suite 6, South Shore Neurospine, South Weymouth, MA 02190 | 2011-03-10 |
| 1790082253 | Bonnie Marie Kimball | Counselor | 549 Columbian Street, Weymouth, MA 02190 | 2011-02-18 |
| 1689805731 | Jane Marie Boomer | Early Intervention Provider Agency | 574 Main Street, Weymouth, MA 02190 | 2009-08-06 |
| 1619101136 | Jordan D Paulson | Psychiatry & Neurology | 55 Fogg Rd # 105, Weymouth, MA 02190 | 2009-05-12 |
| Find all providers in zip 02190 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015879 | Baotran Trannguyen | Physician Assistant | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2018-05-30 |
| 1730530783 | Angela Cramer | Physician Assistant | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2016-06-30 |
| 1508242496 | Andrea Oliver | Physician Assistant | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2015-08-03 |
| 1265599385 | Isabel Hung | Physician Assistant | 55 Fogg Rd, Department of Surgery South Shore Hospital, South Weymouth, MA 02190-2432 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627106 | Taia Maria Tieland | Physician Assistant | 9 Hunting St Apt 1, Cambridge, MA 02141-1010 | 2020-07-24 |
| 1003434275 | Antonious Jonah Abraham | Physician Assistant | 99 Corn Rd, Bolton, MA 01740-1055 | 2020-07-13 |
| 1407479272 | Mackenzie Malcolm Gray | Physician Assistant | 35 Pynchon Rd, Holyoke, MA 01040-1514 | 2020-05-27 |
| 1780235333 | Emily Fregeau | Physician Assistant | 1 Canal St Unit 518, Boston, MA 02114-2053 | 2019-09-25 |
| 1992369524 | Jaclyn Hynes | Physician Assistant | 234 Otis St, Hingham, MA 02043-4504 | 2019-04-29 |
| 1376002931 | Jack City, LLC | Physician Assistant | 290 Pleasant St Apt 212, Watertown, MA 02472-2429 | 2019-03-13 |
| 1578021911 | Ashley Piemonte | Physician Assistant | 15 1/2 Russell St Apt 1, Charlestown, MA 02129-2492 | 2019-03-05 |
| 1407323686 | Nicole Burke Tingley | Physician Assistant | 123 Summer St Ste 277, Worcester, MA 01608-1216 | 2018-10-25 |
| 1386111706 | Nicole Laura Solman | Physician Assistant | 16 Deerhaven Rd, Lincoln, MA 01773-1806 | 2018-10-24 |
| 1881160943 | Philip Apraku Bondzie | Physician Assistant | 266 Sportsmans Trl, Whitman, MA 02382-1726 | 2018-10-16 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH WEYMOUTH |
| Zip Code | 02190 |
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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.