Olivia Duhaime
Individual provider Active NPI Surgery Physician · Wareham, MA
NPI 1083145643 · NPPES record last updated Jan 22, 2025
Key facts
- NPI
- 1083145643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 291186 (MA)
- Practice address
- 100 Rosebrook Way
Wareham, MA 02571-1138 - Phone
- (508) 273-4901
- Fax
- (508) 973-4907
- NPI assigned
- Mar 24, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Boston University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southcoast Physicians Group Inc
Practice addresses (Care Compare)
100 Rosebrook Way
Wareham, MA 02571-1138
Phone (508) 273-4900
Hospital & facility affiliations
- Southcoast Hospitals Group
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 12 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220721003463 | MA | Practitioner - General Surgery | 4789955618 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291186 | MA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Physicians Group, Inc. | Current |
Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current |
Accepting new patients | |
| Southcoast Physicians Group, Inc. | Surgery | Current | Accepting new patients |
| Southcoast Hospitals Group, Inc | Past | Accepting new patients |
Locations
200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
100 Rosebrook Way
Wareham, MA 02571
Phone (508) 273-4900
Interoperability endpoints
- oduhaime64138@direct.southcoast.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 291186 | MA | Yes |
Addresses
Primary practice location
100 Rosebrook Way
Wareham, MA 02571-1138
Mailing address
200 Mill Rd Ste 180
Fairhaven, MA 02719-5255
Phone (508) 973-2000
Other providers in Wareham, MA
- Natalie Dexter
- Sirjana Dhungana Parajuli
- Susan Dorry
- Justine Ducie
- Linda Duffy
- Jason Dwyer
- Emmet J Eby
- Erin A. Edwards
- Empire Vision Center, Inc
- Mariangeliz Yanis Estrella
All providers in Wareham, MA · Surgery Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.