Steven Mollov, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

42450 Issued in MA

Practice address

600 Primrose St Ste 202
Haverhill, MA 01830-2659

Phone

(978) 556-1000

Fax

(978) 556-0100

NPI assigned

Jul 5, 2005

Sex

Male

Sole proprietor

No

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.

• Seacoast Affiliated Group Practice, Inc.

  • Clinic/Center
  • Newburyport, MA
  • NPI 1801892344

  MA

  Medicare reassignment NPD
• Anna Jaques Hospital

  • General Acute Care Hospital
  • Newburyport, MA
  • NPI 1992779482
  NPD (past)
• Newburyport Cardiovascular Associates, LLC

  • Cardiovascular Disease Physician
  • Newburyport, MA
  • NPI 1811315831
  NPD (past)
• River Valley Infectious Disease Specialists Inc.

  • Infectious Disease Physician
  • Newburyport, MA
  • NPI 1366712002
  NPD (past)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: steven.mollov@whcsagp.eclinicaldirectplus.com
• Direct secure messaging: smollov448808@direct.bilh.masshiway.net

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 10, 2021.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1295732287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PRIMROSE ST STE 202",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018302659",
            "telephone_number": "978-556-1000",
            "fax_number": "978-556-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PRIMROSE ST STE 202",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018302659",
            "telephone_number": "978-556-1000",
            "fax_number": "978-556-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLOV",
        "first_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "42450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2064057",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "steven.mollov@whcsagp.eclinicaldirectplus.com",
            "affiliation": "Y",
            "endpointDescription": "SAGP Women's Healthcare eClinicalWorks",
            "affiliationName": "Seacoast Affiliated Group Practice, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "600 Primrose St Ste 202",
            "city": "Haverhill",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018302659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Misserville, M.S
• Mission Counseling & Guidance Center
• Aimee D. Mitchell, P.A.
• Renae Rochelle Mitchell, D.O.
• Mobility Health Care LLC
• Momentum Counseling Inc
• Nicole Aimee Monahan, MA
• Arina Ilse Johanna Montag, ASSOCIATE DEGREE R.N
• Ryan Robert Montminy, MA,LADC
• Gracan Marguerite Montpetit

• All providers in Haverhill, MA
• Obstetrics & Gynecology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.