Active NPI
Shrewsbury OB/GYN, P.C.
- Obstetrics & Gynecology Physician
- Shrewsbury, MA
National Provider Identifier
1013031376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- SHREWSBURY OB/GYN, P.C.
- Practice address
- 555 Main Street
Shrewsbury, MA 01545-2932 - Phone
- (508) 842-2010
- Fax
- (508) 842-8790
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bernard Dale Magee, MD
- Title
- President
- Phone
- (508) 842-2010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
555 Main Street
Shrewsbury, MA 01545-2932
Mailing address
555 Main Street
Shrewsbury, MA 01545-2932
Phone (508) 842-2010
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9706453 | Medicaid | MA | |
| 2551211 | Other | MA | AETNA-US HEALTHCARE HMO |
| 690922 | Other | MA | TUFTS HEALTH PLAN |
| 53968 | Other | MA | FALLON HEALTH PLAN |
| SHM17724 | Other | MA | BC-BS MA SHM17724 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Shrewsbury OB-GYN PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Obstetrics & Gynecology Physician
- Shrewsbury, MA
- NPI 1306234109
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Shrewsbury, MA
- NPI 1396724340
-
- Adult Health Nurse Practitioner
- Worcester, MA
- NPI 1457696015
-
- Chiropractor
- Shrewsbury, MA
- NPI 1598884066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315958400000",
"number": "1013031376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 MAIN STREET",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015452932",
"telephone_number": "508-842-2010",
"fax_number": "508-842-8790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 MAIN STREET",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015452932",
"telephone_number": "508-842-2010",
"fax_number": "508-842-8790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHREWSBURY OB/GYN, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2011-09-14",
"status": "A",
"authorized_official_last_name": "MAGEE",
"authorized_official_first_name": "BERNARD",
"authorized_official_middle_name": "DALE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-842-2010",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9706453",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA-US HEALTHCARE HMO",
"identifier": "2551211",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "690922",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON HEALTH PLAN",
"identifier": "53968",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC-BS MA SHM17724",
"identifier": "SHM17724",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shrewsbury, MA
- Shrewsbury Counseling Center, LLC
- Shrewsbury Dental
- Shrewsbury Dentistry, PC (Shrewsbury Dentistry)
- Shrewsbury Family Chiropractic
- Shrewsbury Nursing & Rehabilitation Center, Inc.
- Shrewsbury OB/GYN, PC
- Shrewsbury Podiatry, PLLC
- Shrewsbury Public Schools
- Shrewsbury SNF Operations LLC
- Shrewsbury Youth & Family Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.