Southwest Boston Internal Medicine Associates, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTHWEST BOSTON INTERNAL MEDICINE ASSOCIATES, PC

Practice address

200 Providence Hwy
Suite 202-203
Dedham, MA 02026-1881

Phone

(781) 326-7815

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

George H Beauregard, DONPI 1396883880

Title

President

Phone

(781) 326-7815

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• George H Beauregard, DO

  • Internal Medicine Physician
  • Dedham, MA
  • NPI 1396883880
  NPD (past) Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1295873784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PROVIDENCE HWY",
            "address_2": "SUITE 202-203",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261881",
            "telephone_number": "781-326-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PROVIDENCE HWY",
            "address_2": "SUITE 202-203",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261881",
            "telephone_number": "781-326-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST BOSTON INTERNAL MEDICINE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "BEAUREGARD",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-326-7815",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M17512",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3065260",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Taylor Soiles, PT
• Sophan Som
• Lauren Sorel, RD, LDN
• Keila Soto
• Tyler Sousa
• Madison Speaker, MS
• Amanda Spector
• Cheryl Spicer
• Spine and Pain Institute of New England
• Paige Carolyn Spivey

• Internal Medicine Physician in Dedham, MA
• Providers in Dedham, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.