Stephen Gregory Werth, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

73556 Issued in MA

Practice address

300 Congress St
Suite 408
Quincy, MA 02169-0907

Phone

(617) 773-7431

Fax

(617) 773-9592

NPI assigned

May 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Vanderbilt University School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associates of South Shore Dermatology LLCGroup PAC ID 2961623301, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Associates of South Shore Dermatology LLC

  • Dermatology Physician
  • Quincy, MA
  • NPI 1710387386
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1093762734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CONGRESS ST",
            "address_2": "SUITE 408",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690907",
            "telephone_number": "617-773-7431",
            "fax_number": "617-773-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CONGRESS ST",
            "address_2": "SUITE 408",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690907",
            "telephone_number": "617-773-7431",
            "fax_number": "617-773-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTH",
        "first_name": "STEPHEN",
        "middle_name": "GREGORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "73556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Shea Welsh, M.A., PSY.D.
• Wallis Elyse Welsh
• Erin D Weme, LICSW
• Yanping Wen, M.D.
• Caitlin Werner
• Mary Rita Weschler, M.ED
• Bruno J West, MD
• Kelly Whalen, B.S.
• Alissa Whall
• Matthew C Whitaker

• Dermatology Physician in Quincy, MA
• Providers in Quincy, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.