North Shore Gynecology, PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

NORTH SHORE GYNECOLOGY, PC

Practice address

3 Centennial Dr
Suite 250
Peabody, MA 01960-7931

Phone

(978) 531-4200

NPI assigned

Apr 7, 2011

Organization subpart

No

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

Authorized official

Name

Julie McCullough, MDNPI 1407802192

Title

MD

Phone

(978) 531-4200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: mccullough.julie.nsg@direct.partners.masshiway.net
• Direct secure messaging: jones.linda.nsg@direct.partners.masshiway.net

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Ann McCullough, MD

  • Obstetrics & Gynecology Physician
  • Peabody, MA
  • NPI 1407802192
  Medicare reassignment Care Compare group Authorized official
• Abigail Elizabeth Reblin, PA STUDENT

  • Physician Assistant
  • Topsfield, MA
  • NPI 1952117699
  Medicare reassignment Care Compare group NPD
• Linda C Jones, M.D.

  • Obstetrics & Gynecology Physician
  • Danvers, MA
  • NPI 1275502643
  Medicare reassignment Care Compare group
• Kimberly Kilfoyle, MD

  • Obstetrics & Gynecology Physician
  • East Boston, MA
  • NPI 1285945881
  Medicare reassignment

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1184913469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CENTENNIAL DR",
            "address_2": "SUITE 250",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607931",
            "telephone_number": "978-531-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CENTENNIAL DR",
            "address_2": "SUITE 250",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607931",
            "telephone_number": "978-531-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE GYNECOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "978-531-4200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Community Action Programs, Inc.
• North Shore Community Health, Inc
• North Shore Dental Center
• North Shore Endodontic Associates, P.C.
• North Shore Foot & Ankle, LLC
• North Shore Hearing Center,LLC
• North Shore Home Medical Supply Inc
• North Shore Home Medical Supply Inc
• North Shore Magnetic Imaging Center
• North Shore Neurological Associates, Inc.

• Gynecology Physician in Peabody, MA
• Providers in Peabody, MA by specialty
• Gynecology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.