SS OBGYN, PC

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

82166 Issued in MA

Legal business name

SS OBGYN, PC

Practice address

70 Walnut St Ste 101
Wellesley Hills, MA 02481-2137

Phone

(617) 340-6449

NPI assigned

Feb 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Shimon Segal, MDNPI 1558471292

Title

Physician

Phone

(617) 416-1611

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

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

• Shimon Segal, M.D.

  • Reproductive Endocrinology Physician
  • Wellesley Hills, MA
  • NPI 1558471292
  Medicare reassignment NPD Authorized official
• Judith M Lennon, ANP

  • Nurse Practitioner
  • Norwell, MA
  • NPI 1730157280
  NPD (past)

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1326217951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 WALNUT ST STE 101",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024812137",
            "telephone_number": "617-340-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 WALNUT ST STE 101",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024812137",
            "telephone_number": "617-340-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SS OBGYN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "SHIMON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "617-416-1611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MA",
            "license": "82166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M17654",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0008402",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juris Slesers, MD
• James M Snider, MD
• Leonard Joel Sommer, PH.D.
• Deanna Blaustein Spielberg, ED.D.
• Egilius L. H. Spierings, MD
• Mikayla Marie Standley
• Stephen Lazarou MD
• Steven P.Smith, MD
• Donald S Strack, D.P.T., ATC
• Marguerite Sullivan, M.D.

• Reproductive Endocrinology Physician in Wellesley Hills, MA
• Providers in Wellesley Hills, MA by specialty
• Reproductive Endocrinology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.