SOUTH SHORE RADIOLOGICAL ASSOCIATES, INC. (NPI# 1518984319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518984319 |
| Entity Type | Organization |
| Organization Name | SOUTH SHORE RADIOLOGICAL ASSOCIATES, INC. |
| Practice Address |
55 Fogg Rd South Weymouth MA 02190-2432 |
| Mailing Address |
Po Box 1079 Lewiston ME 04243-1079 |
| Practice Telephone | 7813408205 |
| Mailing Telephone | 7813408205 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES BEZREH (PRESIDENT) |
| Authorized Official Telephone | 7813408205 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9707859 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | SOUTH SHORE RADIOLOGICAL ASSOCIATES, INC. | 55 Fogg Rd., S Weymouth, MA 01290 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194955864 | Nathaniel N Temin | Radiology | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2009-07-16 |
| 1467648444 | Harbor Medical Associates, Inc. | Radiology | 541 Main St, Suite 120, South Weymouth, MA 02190-1868 | 2007-09-24 |
| 1295791119 | Rafael Antonio Altieri | Radiology | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2006-04-21 |
| 1497729800 | Ellen B Morris | Radiology | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2006-02-14 |
| 1083693485 | James N Suojanen | Radiology | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2006-01-13 |
| 1679552616 | Richard F Sullivan | Radiology | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2006-01-10 |
| 1912985086 | Slobodan Miseljic | Radiology | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2006-01-09 |
| 1841278868 | Jennifer L Lynch | Radiology | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2006-01-09 |
| 1194703108 | Robert L Gore | Radiology | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2006-01-09 |
| 1821076845 | John L Mahoney | Radiology | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2006-01-09 |
| Find all providers in SOUTH WEYMOUTH | ||||
| 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.