SOUTHCOAST PRIMARY CARE INC (NPI# 1891783189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891783189 |
| Entity Type | Organization |
| Organization Name | SOUTHCOAST PRIMARY CARE INC |
| Practice Address |
109 Fairhaven Road Southcoast Primary Care Inc Mattapoisett MA 02739 |
| Mailing Address |
370 Faunce Corner Rd Southcoast Primary Care Inc North Dartmouth MA 02747 |
| Practice Telephone | 5087583781 |
| Practice Fax Number | 5087584455 |
| Mailing Telephone | 5089852000 |
| Mailing Fax Number | 5089852001 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2008-03-05 |
| Authorized Official Name | MARY HODGSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5089852011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9782036 | 05 | |
| MA | BCBS MASSACHUSETTS | M16797 | 01 |
| MA | RAILROAD MEDICARE | CE9725 | 01 |
| Street Address |
109 FAIRHAVEN ROAD SOUTHCOAST PRIMARY CARE INC |
| City | MATTAPOISETT |
| State | MA |
| Zip Code | 02739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861662041 | Ericka Lynne Mccabe | Counselor | 13 Cannon Street, Mattapoisett, MA 02739 | 2008-03-04 |
| 1831249879 | Mary E Soares | Acupuncturist | Watercourse Center, 21 Harbor Road, Mattapoisett, MA 02739 | 2007-01-11 |
| 1528166790 | Patricia C Finnegan | Social Worker | 237 North St, Mattapoisett, MA 02739 | 2006-09-20 |
| 1598764342 | Kate E Marmelo | Optometrist | 5 Tinkham Lane, Mattapoisett, MA 02739 | 2005-07-14 |
| 1396989471 | Hopewell Associates, Inc | Clinical Nurse Specialist | 2 Brandt Island Rd, Mattapoisett, MA 02739 | 2009-04-21 |
| 1346271970 | Louis Peter Kenyon | Dentist | 28 Fairhaven Rd., Mattapoisett, MA 02739 | 2006-07-05 |
| 1922072388 | Jeffrey Gerald Swift | Chiropractor | 109 Fairhaven Rd, Suite D, Mattapoisett, MA 02739 | 2006-02-14 |
| 1093794570 | Carol E Kolek | Social Worker | 19 County Rd, Mattapoisette, MA 02739 | 2006-01-12 |
| 1932228707 | Clayton E. King | Dentist | 61 County Rd., Mattapoisett, MA 02739-0123 | 2007-03-29 |
| 1134221203 | William Bernard Muldoon Jr. | Dentist | 74 County Road, Mattapoisett, MA 02739-0464 | 2006-09-01 |
| Find all providers in zip 02739 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966806 | Eliana Decastro Cuellar | Family Medicine | 1030 President Ave Ste 1001, Fall River, MA 02720-5923 | 2020-09-12 |
| 1386260594 | Form Health Associates (ma), P.C. | Family Medicine | 179 Lincoln St Ste 404, Boston, MA 02111-2425 | 2020-06-23 |
| 1043835044 | Form Health Associates, P.C. | Family Medicine | 179 Lincoln St Fl 4, Boston, MA 02111-2424 | 2020-06-15 |
| 1588290324 | Lighthouse Primary Care PC | Family Medicine | 315 Main St Ste 101, North Reading, MA 01864-1326 | 2020-03-12 |
| 1730714106 | Berkshire Whole Health PC | Family Medicine | 8 Pine St, Stockbridge, MA 01262-9706 | 2020-03-06 |
| 1578100889 | Kelly Ramappa | Family Medicine | 96 Temple St, West Newton, MA 02465-2307 | 2019-12-05 |
| 1295372787 | Julie A Gil | Family Medicine | 114b Lelandville Rd, Charlton, MA 01507-6714 | 2019-12-04 |
| 1154962942 | Molly Rose Lodigiani | Family Medicine | 275 Cypress St Apt 105, Brookline, MA 02445-6774 | 2019-10-02 |
| 1699316539 | Luisa Alejandra Centeno Silva | Family Medicine | 4785 Washington St # 2, West Roxbury, MA 02132-2113 | 2019-10-02 |
| 1609427962 | Jessica Blanchard | Family Medicine | 100 Leominster Rd, Sterling, MA 01564-2156 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
| City | MATTAPOISETT |
| Zip Code | 02739 |
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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.