Organization Active NPI

Shrewsbury OB/GYN, P.C.

  • Obstetrics & Gynecology Physician
  • Shrewsbury, MA
National Provider Identifier
1013031376
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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

Updated by the provider on Sep 14, 2011

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
9706453MedicaidMA
2551211OtherMAAETNA-US HEALTHCARE HMO
690922OtherMATUFTS HEALTH PLAN
53968OtherMAFALLON HEALTH PLAN
SHM17724OtherMABC-BS MA SHM17724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050607000986 MA Part B Supplier - Clinic/Group Practice 2365485612 Receives reassigned benefits from 2 practitioners
Practice locations: Shrewsbury, MA

National Provider Directory

National Provider Directory
Tax ID family
Shrewsbury OB-GYN PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.