North Shore Urological Assoc., Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NORTH SHORE UROLOGICAL ASSOC., INC

Practice address

75 Herrick Street
Parkhurst Medical Building, Suite 219
Beverly, MA 01915

Phone

(978) 927-0714

Fax

(978) 927-9135

NPI assigned

Jul 24, 2006

Last updated

Jun 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John S Ledbetter, M.D.NPI 1437170263

Title

President

Phone

(978) 927-0714

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• John S Ledbetter, MD

  • Urology Physician
  • Beverly, MA
  • NPI 1437170263
  Authorized official Same address or phone
• Robin E Kirby, M.D.

  • Cytopathology Physician
  • Winchester, MA
  • NPI 1982693594
  NPD (past)
• Anthony R Mattia, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Salem, MA
  • NPI 1093888646
  NPD (past)
• Mark Zuckerman, M.D.

  • Cytopathology Physician
  • Winchester, MA
  • NPI 1376532754
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1083636567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PARKHURST MEDICAL BUILDING, SUITE 219",
            "address_2": "75 HERRICK STREET",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-927-0714",
            "fax_number": "978-927-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HERRICK STREET",
            "address_2": "PARKHURST MEDICAL BUILDING, SUITE 219",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-927-0714",
            "fax_number": "978-927-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE UROLOGICAL ASSOC., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "LEDBETTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-927-0714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Pain Treatment LLC
• North Shore Pediatric Dental Associates
• North Shore Preventive Health Care, P.C.
• North Shore Psychiatry Center
• North Shore Retina PLLC
• North Shore Vascular, P.C.
• North Shore Wellness Institute PC
• North Suburban Hospitalists
• Northbound Counseling
• Northeast Arc, Inc.

• Specialist in Beverly, MA
• Providers in Beverly, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.