Active NPI
Cassandra Dorvil, D.O.
- Family Medicine Physician
- Plymouth, MA
National Provider Identifier
1023457355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 269265
- Practice address
- 110 Long Pond Rd Ste 101
Plymouth, MA 02360-2642 - Phone
- (508) 210-5850
- NPI assigned
- Jun 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 269265 | MA | Primary |
Addresses
Primary practice location
110 Long Pond Rd Ste 101
Plymouth, MA 02360-2642
Mailing address
110 Long Pond Rd Ste 101
Plymouth, MA 02360-2642
Other practice location 1
275 Nichols Rd
Fitchburg, MA 01420-1919
Phone (978) 878-8374
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 269265 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Care of Boston Management Corporation | Current | Accepting new patients |
Locations
110 Long Pond Rd
Ste 101
Plymouth, MA 02360
Phone (508) 210-5850
46 Obery St
Plymouth, MA 02360
Phone (508) 210-5920
93 Pond St
Sharon, MA 02067
Phone (781) 784-9212
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Needham, MA
- NPI 1437196359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1023457355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LONG POND RD STE 101",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LONG POND RD STE 101",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602642",
"telephone_number": "508-210-5850"
}
],
"practiceLocations": [
{
"address_1": "275 Nichols Rd",
"address_purpose": "LOCATION",
"city": "Fitchburg",
"state": "MA",
"postal_code": "014201919",
"country_code": "US",
"telephone_number": "978-878-8374",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DORVIL",
"first_name": "CASSANDRA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "269265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.