Organization Active NPI

Plymouth Bay Urology Specialists, P.C.

  • Urology Physician
  • Plymouth, MA
National Provider Identifier
1053591297
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
80236 Issued in MA
Legal business name
PLYMOUTH BAY UROLOGY SPECIALISTS, P.C.
Practice address
135 Sandwich St
Suite B
Plymouth, MA 02360-2400
Phone
(508) 732-6770
Fax
(508) 732-6780
NPI assigned
Nov 5, 2007
Last updated
Nov 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Stephen Craig Gillard, M.D.NPI 1437166881
Title
Director
Phone
(508) 732-6770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 80236 MA Primary

Addresses

Primary practice location

135 Sandwich St
Suite B
Plymouth, MA 02360-2400

Mailing address

PO Box 3421
Plymouth, MA 02361-3421
Phone (508) 732-6770

National Provider Directory

National Provider Directory

Locations

135 Sandwich St
Ste B
Plymouth, MA 02360
Phone (508) 732-6770

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1053591297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3421",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023613421",
            "telephone_number": "508-732-6770",
            "fax_number": "508-732-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 SANDWICH ST",
            "address_2": "SUITE B",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602400",
            "telephone_number": "508-732-6770",
            "fax_number": "508-732-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH BAY UROLOGY SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "GILLARD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "508-732-6770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MA",
            "license": "80236",
            "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 Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.