Organization Active NPI

Shrewsbury OB/GYN, PC

  • Obstetrics & Gynecology Physician
  • Shrewsbury, MA
National Provider Identifier
1306234109
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
81930 Issued in MA
Legal business name
SHREWSBURY OB/GYN, PC
Practice address
555 Main St
Shrewsbury, MA 01545-2932
Phone
(508) 842-2010
Fax
(508) 842-8790
NPI assigned
Dec 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Authorized official

Name
David Klein, MDNPI 1396724340
Title
Vice President
Phone
(508) 842-2010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 81930 MA Primary

Addresses

Primary practice location

555 Main St
Shrewsbury, MA 01545-2932

Mailing address

555 Main St
Shrewsbury, MA 01545-2932
Phone (508) 842-2010

Other identifiers 1

IdentifierTypeStateIssuer
9706453MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Shrewsbury OB-GYN PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

555 Main St
Shrewsbury, MA 01545
Phone (508) 842-2010

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/74/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1306234109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 MAIN ST",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015452932",
            "telephone_number": "508-842-2010",
            "fax_number": "508-842-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MAIN ST",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015452932",
            "telephone_number": "508-842-2010",
            "fax_number": "508-842-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREWSBURY OB/GYN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-31",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "508-842-2010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "81930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9706453",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.