Signature Healthcare Medical Group, Inc.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

SIGNATURE HEALTHCARE MEDICAL GROUP, INC.

Practice address

1 Compass Way
East Bridgewater, MA 02333-1465

Phone

(508) 894-0400

NPI assigned

Sep 27, 2023

Organization subpart

Yes

Parent organization

1508804949As reported in NPPES

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

Authorized official

Name

Cynthia Marie Colby

Title

Director Strategy & Program MGMT

Phone

(508) 941-0958

Specialties & licenses 1

Addresses

Other names 1

• Signature Medical Group Doing business as

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

CLIA laboratory certificates

Tax ID family

Primary Care Affiliates2 organizations share this tax ID, including this one

Part of

Primary Care Affiliates

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Signature Healthcare Medical Group, Inc.

  • Specialty Pharmacy
  • Brockton, MA
  • NPI 1174232094
  NPD tax ID

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696636800000",
    "number": "1285413435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 CENTRE ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023308",
            "telephone_number": "508-894-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COMPASS WAY",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331465",
            "telephone_number": "508-894-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE HEALTHCARE MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "1508804949",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-10-07",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "COLBY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR STRATEGY & PROGRAM MGMT",
        "authorized_official_telephone_number": "508-941-0958"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Signature Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy T Scott, ANP
• Jennifer Marie Seaberg, MFT
• Jonathan M Shapiro, MD
• Samantha Shea, FNP
• Lynn Rose Sheppard, LICSW
• Signature Healthcare Urgent Care, Inc.
• Colleen M Silva, FNP-BC
• Ashley Christine Simoni, NP
• Melissa Sinewick, PT
• Andrew Smith, M.A., LMHC

• All providers in East Bridgewater, MA
• Urgent Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.