SOUTH SHORE PRIMARY CARE PC (NPI# 1356308712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356308712 |
| Entity Type | Organization |
| Organization Name | SOUTH SHORE PRIMARY CARE PC |
| Other Organization Name | RAVINDER SOODAN MD |
| Practice Address |
72 Sharpe Street Suite A10 Hingham MA 02043 |
| Mailing Address |
Po Box 295 S Weymouth MA 02190 |
| Practice Telephone | 7813312010 |
| Practice Fax Number | 7813409915 |
| Mailing Telephone | 7813312010 |
| Mailing Fax Number | 7813409915 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RAVINDER S SOONDAN (PRESIDENT) |
| Authorized Official Telephone | 7813312010 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 59327 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS | 614504 | 01 |
| MA | BCBS | M16803 | 01 |
| MA | HARVARD PILGRIM | 64627 | 01 |
| MA | 9782885 | 05 |
| Other Name | Type Code |
|---|---|
| Ravinder Soodan MD | Other Name - Individual/Organization |
| Street Address |
72 SHARPE STREET SUITE A10 |
| City | HINGHAM |
| State | MA |
| Zip Code | 02043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841750171 | Sandra Matthews | Speech-Language Pathologist | Outpatient Rehab - Hobart Grove, 207 Linden Ponds Way, Hingham, MA 02043 | 2019-03-22 |
| 1154805695 | Anne Marie Thompson | Social Worker | 160 Derby Street, #338, Hingham, MA 02043 | 2018-09-20 |
| 1023598794 | Invisible Orthodontics PC | Dentist | One Derby St Suite 2, Hingham, MA 02043 | 2018-08-21 |
| 1528506565 | Regis College | Nursing Care | 97 Hersey Street, Hingham, MA 02043 | 2017-02-10 |
| 1689934523 | Joanna Y. Chang | Physical Therapist | 188 Hms Halsted Dr, Hingham, MA 02043 | 2012-05-25 |
| 1427361336 | Jim Bailey | Counselor | 160 Old Derby St Ste 266, Hingham, MA 02043 | 2010-07-20 |
| 1194968222 | Eileen Mazzulli | Physical Therapist | Linden Ponds Outpatient Rehabilitation Clinic, 205 Linden Ponds Way, Hingham, MA 02043 | 2009-04-20 |
| 1659540664 | Maria Clarinda A Buencamino-francisco | Internal Medicine | 6 Shipyard Dr, Hingham, MA 02043 | 2008-02-23 |
| 1437340999 | Town of Hingham | Clinic/Center | 210 Central Street, Hingham, MA 02043 | 2007-08-08 |
| 1720285018 | South Shore Orthopedics LLC | Specialist | 2 Pond Park, Suite 102, Hingham, MA 02043 | 2007-06-29 |
| Find all providers in zip 02043 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528354792 | Louis Vaickus | Internal Medicine | 22 Franklin Rodgers Rd, Hingham, MA 02043-2664 | 2011-06-25 |
| 1801110010 | Jason Boney | Internal Medicine | 36 Kimball Beach Rd, Hingham, MA 02043-1146 | 2010-03-16 |
| 1235390451 | Carole Vincent | Internal Medicine | 6 Shipyard Dr Ste 2a, Hingham, MA 02043-1667 | 2008-06-19 |
| 1659540664 | Maria Clarinda A Buencamino-francisco | Internal Medicine | 6 Shipyard Dr, Hingham, MA 02043 | 2008-02-23 |
| 1366467953 | Olivia Lanna | Internal Medicine | 350 Lincoln St Ste 1102, Hingham, MA 02043-1578 | 2006-07-13 |
| 1114918166 | Lynda M Fann | Internal Medicine | 300 Linden Ponds Way, Hingham, MA 02043-3791 | 2005-10-31 |
| 1639616204 | Hingham Medical Care Inc. | Internal Medicine | 350 Lincoln St Ste 1102, Hingham, MA 02043-1578 | 2017-01-20 |
| 1891019006 | Gazel Industries, Inc. | Internal Medicine | 36 Kimball Beach Rd, Hingham, MA 02043-1146 | 2010-03-16 |
| 1740475508 | Grace Niklas | Internal Medicine | 210 Whiting St, Suite 4, Hingham, MA 02043-3724 | 2007-09-13 |
| 1053488098 | Ravinder S Soodan | Internal Medicine | 72 Sharp St, Suite A10, Hingham, MA 02043 | 2006-11-28 |
| Find all providers in HINGHAM | ||||
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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.